Elite Vein Harvesters & Staffing L.L.C

Primary specialty

Surgical Physician AssistantTaxonomy code 363AS0400X

Legal business name

ELITE VEIN HARVESTERS & STAFFING L.L.C

Practice address

2425 Shaftsbury Dr
Corpus Christi, TX 78415-4483

Phone

(361) 459-9680

NPI assigned

Oct 4, 2021

Last updated

Oct 13, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Jorge Villarreal, LSANPI 1720314362

Title

Ceo

Phone

(361) 459-9680

Specialties & licenses 2

Addresses

Practitioners 1

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.

• Jorge Villarreal, LSA

  • Surgical Physician Assistant
  • Corpus Christi, TX
  • NPI 1720314362

  Surgical Assistant

  NPD Authorized official

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

{
    "created_epoch": "1633305600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1634083200000",
    "number": "1306518600",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2425 SHAFTSBURY DR",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784154483",
            "telephone_number": "361-459-9680"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2425 SHAFTSBURY DR",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784154483",
            "telephone_number": "361-459-9680"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELITE VEIN HARVESTERS & STAFFING L.L.C",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-04",
        "last_updated": "2021-10-13",
        "certification_date": "2021-10-13",
        "status": "A",
        "authorized_official_last_name": "VILLARREAL",
        "authorized_official_first_name": "JORGE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "361-459-9680",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LSA"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "246ZC0007X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Other, Surgical Assistant",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Ali Elhenawy
• Victoria Elia, ATC
• Jose Elizalde, PHARMD
• John Michael Elizondo, DDS
• Miguel Andres Elizondo, MD
• Nancy Elizondo
• Oscar Elizondo III, LMSW

• Surgical Physician Assistant in Corpus Christi, TX
• Providers in Corpus Christi, TX by specialty
• Surgical Physician Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2021; 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.