Valley Vascular Access Associates

Primary specialty

SpecialistTaxonomy code 174400000X

Legal business name

VALLEY VASCULAR ACCESS ASSOCIATES

Practice address

214 W Sam Houston Blvd
Pharr, TX 78577-5346

Phone

(713) 520-6875

NPI assigned

Jun 15, 2015

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Harish Koolwal, M.D

Title

Owner/Provider

Phone

(713) 520-6875

Specialties & licenses 1

Addresses

Other names 1

• Valley Vascular Access Associates Former legal business name

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1434326400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1434326400000",
    "number": "1013398098",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7015 ALMEDA RD",
            "address_2": "SUITE 3",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770542101",
            "telephone_number": "713-520-6875"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "214 W SAM HOUSTON BLVD",
            "city": "PHARR",
            "state": "TX",
            "postal_code": "785775346",
            "telephone_number": "713-520-6875"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VALLEY VASCULAR ACCESS ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-15",
        "last_updated": "2015-06-15",
        "status": "A",
        "authorized_official_last_name": "KOOLWAL",
        "authorized_official_first_name": "HARISH",
        "authorized_official_title_or_position": "OWNER/PROVIDER",
        "authorized_official_telephone_number": "713-520-6875",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Valley Vascular Access Associates",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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• Specialist in Pharr, TX
• Providers in Pharr, TX by specialty
• Specialist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.