Organization · Type 2 NPI
Vascular Surgery of Nacogdoches, P.a.
Vascular Surgery Physician · Nacogdoches, TX
NPI number
1033423801
Active
Practice location
3618 North University Drive
Nacogdoches, TX 75965-2539
Fax (936) 568-9996
Mailing address
PO Box 630668
Nacogdoches, TX 75963-0668
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Surgery Physician | 208600000X | H6529 (TX) |
| Vascular Surgery Physician Primary | 2086S0129X | H6529 (TX) |
Vascular Surgery Physician: A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.
About NPI 1033423801
Vascular Surgery of Nacogdoches, P.a.'s National Provider Identifier is 1033423801, issued on Aug 3, 2010. The primary taxonomy on file is Vascular Surgery Physician (2086S0129X), and the practice location is in Nacogdoches, TX. The record was last updated on Sep 28, 2011.