Organization · Type 2 NPI

Endovascular Lab PLLC

Vascular Surgery Physician · Odessa, TX

NPI number 1407482003 Active

Practice location

612 N Washington Avenue, Suite 100
Odessa, TX 79761

Specialties and licenses

TaxonomyCodeLicense
Vascular Surgery Physician Primary 2086S0129XNone listed

Vascular Surgery Physician: A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.

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About NPI 1407482003

Endovascular Lab PLLC's National Provider Identifier is 1407482003, issued on Mar 16, 2020. The primary taxonomy on file is Vascular Surgery Physician (2086S0129X), and the practice location is in Odessa, TX. The record was last updated on Aug 14, 2020.