MISSION VASCULAR SPECIALISTS CORP (NPI# 1588290340) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588290340 |
| Entity Type | Organization |
| Organization Name | MISSION VASCULAR SPECIALISTS CORP |
| Practice Address |
718 Lexington Ave Fl 1 San Antonio TX 78212-4768 |
| Mailing Address |
26500 Agoura Rd Ste 201 Calabasas CA 91302-3556 |
| Practice Telephone | 2106407909 |
| Practice Fax Number | 2109077800 |
| Mailing Telephone | 8188808605 |
| Mailing Fax Number | 8185797916 |
| Enumeration Date | 2020-03-12 |
| Last Update Date | 2020-03-12 |
| Authorized Official Name | YURY GAMPEL (MANAGER) |
| Authorized Official Telephone | 8188808605 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0204X |
Radiology Specialization: Vascular & Interventional Radiology |
Allopathic & Osteopathic Physicians |
| Street Address |
718 LEXINGTON AVE FL 1 |
| City | SAN ANTONIO |
| State | TX |
| Zip Code | 78212-4768 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902451701 | Ninfa Hernandez Guzman | Assisted Living Facility | 325 E Locust St., San Antonio, TX 78212 | 2019-08-08 |
| 1366924730 | David Edward Dupuy | Occupational Therapist | 307 West Cypress, San Antonio, TX 78212 | 2018-09-03 |
| 1184100836 | Magenta Health, Inc. | Clinic/Center | 1222 North Main, Suite 115, San Antonio, TX 78212 | 2018-07-16 |
| 1497275762 | Dms Pharmacy, LLC | Pharmacy | 305 East Euclid, Suite 104, San Antonio, TX 78212 | 2017-06-27 |
| 1245693290 | Rebecca Lynn Sherman | Physical Therapist | 40 Ne Interstate 410 Loop, San Antonio, TX 78212 | 2016-03-29 |
| 1669886032 | Felise De Novo, PC | Counselor | 2400 Mccullough Ave., #12851, San Antonio, TX 78212 | 2014-06-13 |
| 1699102699 | Prem S. Kalidindi | Pharmacist | 2608 N. Main, Ste 1, San Antonio, TX 78212 | 2013-10-04 |
| 1073860052 | Sarah Nicole Percy Tovar | Dentist | 4118 Mccullough Ave., Suite 6, San Antonio, TX 78212 | 2012-08-09 |
| 1205181674 | Michael Jose Cavazos | Internal Medicine | 1100 Mccullough Ave Ste 300, San Antonio, TX 78212 | 2012-07-20 |
| 1730458381 | Neuriom, Pllc | Electrodiagnostic Medicine | 4007 Mccullough Ave, #243, San Antonio, TX 78212 | 2011-12-27 |
| Find all providers in zip 78212 | ||||
| Taxonomy Code | 2085R0204X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Vascular & Interventional Radiology |
| A radiologist who diagnoses and treats diseases by various radiologic imaging modalities. These include fluoroscopy, digital radiography, computed tomography, sonography and magnetic resonance imaging. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407850209 | John Hogg | Radiology | 622 Isom Rd, San Antonio, TX 78216 | 2005-06-09 |
| 1508498072 | Interventional Partners LLC | Radiology | 19016 Stone Oak Pkwy Ste 180, San Antonio, TX 78258-3281 | 2020-02-12 |
| 1508120296 | Courtney Jayne Cook | Radiology | 333 N Santa Rosa St, San Antonio, TX 78207 | 2012-06-27 |
| 1124256755 | Andres Eugenio Garza Berlanga | Radiology | 4502 Medical Dr, San Antonio, TX 78229-4402 | 2009-06-22 |
| 1477780344 | John Allen Walker Jr. | Radiology | 4502 Medical Dr, San Antonio, TX 78229-4402 | 2009-06-17 |
| 1053575415 | Vpa of Texas, Pllc | Radiology | 3201 Cherry Ridge St, San Antonio, TX 78230-4823 | 2008-07-15 |
| 1720116056 | Ghazwan Mohammad Faozi Kroma | Radiology | 7703 Floyd Curl Drive, Radiology, Univ Texas Health Science Center, San Antonio, TX 78229 | 2007-02-28 |
| 1134262660 | Steven A Wagers Jr. | Radiology | 3551 Roger Brooke Drive, Brooke Army Medical Center, San Antonio, TX 78219 | 2007-02-15 |
| 1225091952 | Jorge E Lopera | Radiology | 7703 Floyd Curl Dr, Mail Code 7800, San Antonio, TX 78229-3901 | 2006-04-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568095891 | Interventional Partners LLC | Radiology | 4323 N Josey Ln Ste 200, Carrollton, TX 75010-4619 | 2020-02-14 |
| 1467085795 | Interventional Partners LLC | Radiology | 400 W Arbrook Blvd Ste 320, Arlington, TX 76014-3180 | 2020-02-14 |
| 1447883772 | Interventional Partners LLC | Radiology | 3400 Interstate Highway 30 Ste 180, Mesquite, TX 75150-2601 | 2020-02-14 |
| 1649811571 | Amh Ir LLC | Radiology | 4425 Bluestem St, Flower Mound, TX 75028-1123 | 2019-10-02 |
| 1497300081 | Minimally Invasive Surgical Pllc | Radiology | 4532 N Mesa St Ste B2, El Paso, TX 79912-6286 | 2019-08-09 |
| 1922666189 | Interventional Partners, LLC | Radiology | 251 W Medical Center Blvd Ste 200, Webster, TX 77598-4242 | 2019-06-03 |
| 1922563410 | Virtx LLC | Radiology | 13284 Bigelow Ln, Frisco, TX 75035-0782 | 2019-02-08 |
| 1831688779 | Humble Interventional Partners Md Pa | Radiology | 8411 Fm 1960 Bypass Rd W, Humble, TX 77338-4013 | 2018-05-07 |
| 1386163780 | Sunrise Vascular Pllc | Radiology | 2715 Boca Chica Blvd Ste 3, Brownsville, TX 78521-3676 | 2017-09-18 |
| 1992155063 | Cactus Modern Imaging | Radiology | 7049 Westwind Dr Apt 6011b, El Paso, TX 79912-1736 | 2016-06-20 |
| Find all providers with the same taxonomy | ||||
| City | SAN ANTONIO |
| Zip Code | 78212 |
Please comment or provide details below to improve the information on MISSION VASCULAR SPECIALISTS CORP.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.