Active NPI
Houston Vein and Vascular PLLC
Doing business as Houston vein and vascular
- Vascular & Interventional Radiology Physician
- Bellaire, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Vascular & Interventional Radiology Physician
- Legal business name
- HOUSTON VEIN AND VASCULAR PLLC
- Doing business as
- Houston vein and vascular
- Practice address
- 6565 West Loop S Ste 110
Bellaire, TX 77401-3505 - Phone
- (713) 242-3000
- NPI assigned
- Aug 17, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Amelia Goodrum
- Title
- Administrative Assistant
- Phone
- (479) 242-2562
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | |||
| Vascular & Interventional Radiology Physician | 2085R0204X | Primary |
Addresses
Primary practice location
6565 West Loop S Ste 110
Bellaire, TX 77401-3505
Mailing address
5707 Jenny Lind Rd
Fort Smith, AR 72908-7435
Phone (479) 452-9416
Other practice location 1
837 Cypress Creek Pkwy Ste 106
Houston, TX 77090-3422
Phone (832) 350-7260
Other practice location 2
1211 Highway 6 Ste 70B
Sugar Land, TX 77478-4940
Phone (832) 350-7260
Other names 1
- Houston vein and vascular
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
604 N Main St
Gore, OK 74435
Phone (918) 489-5259
1211 Highway 6
Ste 70B
Sugar Land, TX 77478
Phone (832) 350-7260
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/AFJICD
Practitioners & affiliated clinicians
Practitioners 5
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Acute Care Nurse Practitioner
- Bellaire, TX
- NPI 1215699012
-
- Family Nurse Practitioner
- The Woodlands, TX
- NPI 1518684323
-
- Certified Registered Nurse Anesthetist
- Houston, TX
- NPI 1720309255
-
- Vascular & Interventional Radiology Physician
- Bellaire, TX
- NPI 1780900993
Diagnostic Radiology
-
- Family Medicine Physician
- Gore, OK
- NPI 1235130709
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1629158400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1737072000000",
"number": "1114693504",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5707 JENNY LIND RD",
"city": "FORT SMITH",
"state": "AR",
"postal_code": "729087435",
"telephone_number": "479-452-9416",
"fax_number": "479-242-1990"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6565 WEST LOOP S STE 110",
"city": "BELLAIRE",
"state": "TX",
"postal_code": "774013505",
"telephone_number": "713-242-3000"
}
],
"practiceLocations": [
{
"address_1": "837 Cypress Creek Pkwy Ste 106",
"address_purpose": "LOCATION",
"city": "Houston",
"state": "TX",
"postal_code": "770903422",
"country_code": "US",
"telephone_number": "832-350-7260",
"fax_number": "832-350-7261",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1211 Highway 6 Ste 70B",
"address_purpose": "LOCATION",
"city": "Sugar Land",
"state": "TX",
"postal_code": "774784940",
"country_code": "US",
"telephone_number": "832-350-7260",
"fax_number": "832-350-7261",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "HOUSTON VEIN AND VASCULAR PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2021-08-17",
"last_updated": "2025-01-17",
"certification_date": "2025-01-17",
"status": "A",
"authorized_official_last_name": "GOODRUM",
"authorized_official_first_name": "AMELIA",
"authorized_official_title_or_position": "ADMINISTRATIVE ASSISTANT",
"authorized_official_telephone_number": "479-242-2562"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Radiology, Diagnostic Radiology",
"state": null,
"license": null,
"primary": false
},
{
"code": "2085R0204X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Radiology, Vascular & Interventional Radiology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Houston vein and vascular",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Bellaire, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.