VASCULAR INSTITUTE OF HOUSTON PLLC


Address: 815 Brazos St Ste 500, Austin, TX 78701-2509
Phone: 4806261746

VASCULAR INSTITUTE OF HOUSTON PLLC (NPI# 1770107856) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1770107856
Entity Type Organization
Organization Name VASCULAR INSTITUTE OF HOUSTON PLLC
Practice Address 815 Brazos St Ste 500
Austin
TX 78701-2509
Mailing Address Po Box 1117
Higley
AZ 85236-1117
Practice Telephone 4806261746
Practice Fax Number 4806262690
Mailing Telephone 4806160016
Mailing Fax Number 4806262690
Enumeration Date 2020-06-03
Last Update Date 2020-06-03
Authorized Official Name DR. TRACY L BASSO (MEDICAL DIRECTOR)
Authorized Official Telephone 4693201267
Authorized Official Credential MD
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QM1300X Clinic/Center
Specialization: Multi-Specialty
Ambulatory Health Care Facilities

Office Location

Street Address 815 BRAZOS ST STE 500
City AUSTIN
State TX
Zip Code 78701-2509

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Taxonomy Information

Taxonomy Code 261QM1300X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Multi-Specialty

Taxonomy Definition

Definition to come...

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Competitor

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City AUSTIN
Zip Code 78701

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Dataset Information

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.

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