IMMACULATE VASCULAR ACCESS CENTER PLLC

SAN BENITO, TX
NPI1639711534
Entity TypeOrganization
Authorized ContactNGOZI OKOBA
Owner
240-837-3293
Organization Subpart ?No
Primary Taxonomy207RN0300X Internal Medicine Nephrology
Enumeration Date2019-10-11
Last Update Date2019-10-11
Business Address
IMMACULATE VASCULAR ACCESS CENTER PLLC
349 S HELEN MOORE RD APT 6205
SAN BENITO, TX 78586-9091
Phone number: 240-837-3293
Mailing Address
IMMACULATE VASCULAR ACCESS CENTER PLLC
349 S HELEN MOORE RD APT 6205
SAN BENITO, TX 78586-9091
Phone number: 240-837-3293
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