NPI | 1194099622 |
---|---|
Doing Business As | AMERICAN VEIN & VASCULAR INSTITUTE |
Entity Type | Organization |
Authorized Contact | GORDON F GIBBS Owner/Provider 682-999-8346 |
Organization Subpart ? | No |
Primary Taxonomy | 2085R0204X Radiology, Vascular & Interventional Radiology (Licence: TX P3724) |
Enumeration Date | 2012-03-01 |
Last Update Date | 2016-11-15 |