HOUSTON VEIN AND VASCULAR PLLC – NPI #1114693504
Radiology

A radiologist who diagnoses and treats diseases by various radiologic imaging modalities. These include fluoroscopy, digital radiography, computed tomography, sonography and magnetic resonance imaging.

HOUSTON VEIN AND VASCULAR PLLC is a radiologist located in BELLAIRE, TX. NPPES has assigned the NPI number 1114693504 to HOUSTON VEIN AND VASCULAR PLLC on August 17, 2021. It is a Type-2 NPI, indicating this NPI number is associated with an organization. This provider is also associated with 2 additional names listed below. According to the NPI Registry, there are 2 additional location(s) assigned to this provider which are listed below. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 2085R0204X from the Health Care Provider Taxonomy code set, which is classified as Radiology, specializing in Vascular & Interventional Radiology

The NPI profile was last updated on Jan 17, 2025. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for HOUSTON VEIN AND VASCULAR PLLC below.

NPI Profile for
HOUSTON VEIN AND VASCULAR PLLC

NPI Number
1114693504
Enumeration Date

(about 5 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
HOUSTON VEIN AND VASCULAR PLLC
Other name(s)
All associated names:

Doing Business As (dba)
Houston vein and vascular
Primary location
6565 WEST LOOP S STE 110
BELLAIRE, TX 77401-3505
Phone: (713) 242-3000 Fax:
2 Other location(s):
837 Cypress Creek Pkwy Ste 106
Houston, TX 77090-3422
Phone: (832) 350-7260
Fax: (832) 350-7261
1211 Highway 6 Ste 70B
Sugar Land, TX 77478-4940
Phone: (832) 350-7260
Fax: (832) 350-7261
Mailing address
5707 JENNY LIND RD
FORT SMITH, AR 72908-7435
Phone: (479) 452-9416 Fax: (479) 242-1990
Organization Subpart
No
Authorized Official
AMELIA GOODRUM
ADMINISTRATIVE ASSISTANT
Phone: (479) 242-2562
Updated
Certification Date
Jan 17, 2025

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
2085R0204X
- Radiology / Vascular & Interventional Radiology (Primary)
2085R0202X
- Radiology / Diagnostic Radiology

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.