Dream Vein Clinic PLLC

Primary specialty

Vascular & Interventional Radiology PhysicianTaxonomy code 2085R0204X

Legal business name

DREAM VEIN CLINIC PLLC

Practice address

1601 E Pflugerville Pkwy BLDG 3
Pflugerville, TX 78660-2799

Phone

(206) 450-6845

NPI assigned

Sep 13, 2023

Last updated

Nov 18, 2024By 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

Dr. Jasmine Jamin Koo, MDNPI 1144537606

Title

Ceo

Phone

(206) 450-6845

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

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.

• Jasmine Jamin Koo, MD

  • Vascular & Interventional Radiology Physician
  • Pflugerville, TX
  • NPI 1144537606
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1694563200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1731888000000",
    "number": "1417734229",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1601 E PFLUGERVILLE PKWY STE 3201",
            "city": "PFLUGERVILLE",
            "state": "TX",
            "postal_code": "786607349",
            "telephone_number": "206-450-6845"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1601 E PFLUGERVILLE PKWY BLDG 3",
            "city": "PFLUGERVILLE",
            "state": "TX",
            "postal_code": "786602799",
            "telephone_number": "206-450-6845"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DREAM VEIN CLINIC PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-13",
        "last_updated": "2024-11-18",
        "certification_date": "2024-11-18",
        "status": "A",
        "authorized_official_last_name": "KOO",
        "authorized_official_first_name": "JASMINE",
        "authorized_official_middle_name": "JAMIN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "206-450-6845",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Clayton Everett Dockery, MA, LPC-A
• Brittney Dominguez, DPT
• Erin Ashlynn Dominguez, LCSW
• Dr. Hollis Wilson P.C. (Central Texas Chiropractic & Rehab)
• Dr. Ronnette P. Ballard, Licensed Psychologist (InSight Psychology and Behavioral Health Services)
• Hailey Wang Driscoll, MD
• Drug & Alcohol Testing Services of Austin, LLC
• Yunjie Du, MD
• David Duarte I
• David Duarte Jr., NA

• Vascular & Interventional Radiology Physician in Pflugerville, TX
• Providers in Pflugerville, TX by specialty
• Vascular & Interventional Radiology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2024; 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.

Verify at the official NPI Registry.