| NPI | 1033423801 |
|---|---|
| Doing Business As | VASCULAR ACCESS CENTER OF EAST TEXAS |
| Entity Type | Organization |
| Authorized Contact | MARK ALFORD RANDEL President 936-568-9993 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2086S0129X Surgery, Vascular Surgery (Licence: TX H6529) |
| Additional Taxonomies | 208600000X Surgery (Licence: TX H6529) |
| Enumeration Date | 2010-08-03 |
| Last Update Date | 2011-09-28 |