PASADENA VASCULAR DIRECT LLC NPI 1720500317

NPI Information

NPI: 1720500317
Provider Name: PASADENA VASCULAR DIRECT, LLC
Classification: Surgery - 2086S0129X
Entity Type: Organization

Specialization: Vascular Surgery

Address:
4301 VISTA RD STE 109
PASADENA, TX
ZIP 77504
Phone: (281) 416-5216
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PASADENA VASCULAR DIRECT, LLC is a vascular surgery surgery in Pasadena, TX. The provider is a surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. PASADENA VASCULAR DIRECT, LLC NPI is 1720500317. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

4301 VISTA RD STE 109
PASADENA, TX
ZIP 77504-117
Phone: (281) 416-5216

The provider's authorized official is Danel Monroe .
The authorized official title is Manager and has the following contact phone number (281) 416-5216.

The enumeration date for this NPI number is 7/14/2017 and was last updated on 7/21/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	2086S0129X	Surgery	Vascular Surgery			Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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