| NPI | 1790905818 |
|---|---|
| Doing Business As | THE VEIN TREATMENT CENTER |
| Entity Type | Organization |
| Authorized Contact | LEESA V RICHARDSON Physician Practice Manager 502-895-6600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 202K00000X |
| Enumeration Date | 2007-04-30 |
| Last Update Date | 2020-08-22 |