| NPI | 1760824155 |
|---|---|
| Former Legal Business Name | CENTER FOR VENOUS DISEASE MANAGEMENT ACCOUNT, PLLC |
| Entity Type | Organization |
| Authorized Contact | ANA LUISA VALDEZ Office Manager 915-533-5100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: TX G0794) |
| Enumeration Date | 2013-07-25 |
| Last Update Date | 2024-11-26 |