COSMETIC VEIN CENTERS OF TEXAS (NPI# 1932389137) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932389137 |
| Entity Type | Organization |
| Organization Name | COSMETIC VEIN CENTERS OF TEXAS |
| Practice Address |
445 Bay Area Blvd Houston TX 77058-2622 |
| Practice Telephone | 2819908346 |
| Practice Fax Number | 2819909984 |
| Mailing Telephone | 2819908346 |
| Mailing Fax Number | 2819909984 |
| Enumeration Date | 2007-11-06 |
| Last Update Date | 2008-07-29 |
| Authorized Official Name | DR. MARK EDWARD SKELLENGER (PRESIDENT) |
| Authorized Official Telephone | 2819908346 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2086S0129X |
Surgery Specialization: Vascular Surgery |
E6620 | TX | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | MEDICARE RAILROAD | DC4826 | 01 |
| Street Address |
445 BAY AREA BLVD |
| City | HOUSTON |
| State | TX |
| Zip Code | 77058-2622 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588779011 | Mark Edward Skellenger | Specialist | 445 Bay Area Blvd, Houston, TX 77058-2622 | 2006-08-21 |
| 1154587194 | Mark E. Skellenger Md Pa | Specialist | 445 Bay Area Blvd, Houston, TX 77058-2622 | 2008-07-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699248807 | Jolly Joseph | Nurse Practitioner | 18300, Houston Methodist, Houston, TX 77058 | 2019-01-10 |
| 1700372992 | Jasmin Elise Auzenne | Audiologist | 17625 El Camino Real Ste 155, Houston, TX 77058 | 2018-07-10 |
| 1053801225 | Dialyspa Vii LLC | Clinic/Center | 1411 Bonner St., Houston, TX 77058 | 2018-05-14 |
| 1699263285 | Pneucare, LLC | Durable Medical Equipment & Medical Supplies | 1322 Space Park Dr Ste C120, Houston, TX 77058 | 2018-04-29 |
| 1972005189 | Limy Fernandus | Nurse Practitioner | 985 E Nasa Pkwy, Houston, TX 77058 | 2018-03-03 |
| 1033623616 | Sigi Paul | Nurse Practitioner | 1210 El Camino Village Dr., Houston, TX 77058 | 2017-11-19 |
| 1881107845 | Jennifer Elise Hobson | Counselor | 1322 Space Park Dr Ste B123, Houston, TX 77058 | 2017-11-13 |
| 1174035778 | Agrarian Wellness, LLC | Registered Nurse | 17000 El Camino Real Ste 209, Houston, TX 77058 | 2017-11-04 |
| 1013468073 | Cynthia Bandemer | Counselor | 17300 El Camino Real Ste 107d, Houston, TX 77058 | 2016-10-14 |
| 1043698533 | Hopewell Home Healthcare LLC | Nursing Care | 18090 Kings Row, Houston, TX 77058 | 2015-05-15 |
| Find all providers in zip 77058 | ||||
| Taxonomy Code | 2086S0129X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| Specialization | Vascular Surgery |
| A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558922625 | Sudad Kareem Al Hadad | Surgery | 12579 Richmond Ave Ste 800, Houston, TX 77082-2555 | 2019-06-27 |
| 1518449701 | Kenton Lee Rommens | Surgery | 6400 Fannin St. Suite 2850, Houston, TX 77030 | 2018-09-04 |
| 1609303171 | Ross Gene Mcfall | Surgery | 6550 Fannin St # Sm1401, Houston, TX 77030-2717 | 2017-05-16 |
| 1093017063 | Southeast Texas Clinical Research and Education Inc | Surgery | 5925 Almeda Rd, North Tower Suite 717, Houston, TX 77004-7602 | 2010-11-24 |
| 1710150461 | Cardiothoracic and Vascular Surgery, Pllc | Surgery | 12327 N Shadow Cove Dr, Houston, TX 77082-2503 | 2008-04-02 |
| 1770760522 | Arash Keyhani | Surgery | 1631 North Loop W Ste 610, Houston, TX 77008-1552 | 2008-01-23 |
| 1447397716 | Jayer Chung | Surgery | 6620 Main Street (baylor College of Medicine), Suite 1325, Houston, TX 77030 | 2007-01-30 |
| 1366466914 | Damian Victorio Chaupin | Surgery | 800 Peakwood Drive, Suite 5g, Houston, TX 77090 | 2006-07-27 |
| 1427077817 | Jose Gabriel Monsalvez | Surgery | 4126 Southwest Fwy Ste 1100, Houston, TX 77027-7358 | 2006-07-18 |
| 1962471227 | William P Kalchoff | Surgery | 8313 Sw Fwy, Suite 201, Houston, TX 77074-1611 | 2006-03-17 |
| Find all providers in HOUSTON | ||||
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| 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.