Organization Active NPI

Kapusta Cosmetic and Medical Vein Center, P.a.

  • Specialist
  • Houston, TX
National Provider Identifier
1538343652
Registry record updated Dec 26, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
F0537 Issued in TX
Legal business name
KAPUSTA COSMETIC AND MEDICAL VEIN CENTER, P.A.
Doing business as
Vein Center Houston
Practice address
5585 Weslayan St
Houston, TX 77005-1941
Phone
(713) 349-8346
Fax
(713) 218-8346
NPI assigned
Dec 26, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 26, 2007

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

Authorized official

Name
Dr. Mario Osvaldo Kapusta, M.D.
Title
President
Phone
(713) 349-8346

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X F0537 TX Primary

Addresses

Primary practice location

5585 Weslayan St
Houston, TX 77005-1941

Mailing address

PO Box 6730
Houston, TX 77265-6730
Phone (713) 349-8346

Other identifiers 1

IdentifierTypeStateIssuer
0087KZOtherTXBCBS GROUP

Other names 1

  • Vein Center Houston Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1198627200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1198627200000",
    "number": "1538343652",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6730",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "772656730",
            "telephone_number": "713-349-8346",
            "fax_number": "713-218-8346"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5585 WESLAYAN ST",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770051941",
            "telephone_number": "713-349-8346",
            "fax_number": "713-218-8346"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KAPUSTA COSMETIC AND MEDICAL VEIN CENTER, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-26",
        "last_updated": "2007-12-26",
        "status": "A",
        "authorized_official_last_name": "KAPUSTA",
        "authorized_official_first_name": "MARIO",
        "authorized_official_middle_name": "OSVALDO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "713-349-8346",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "TX",
            "license": "F0537",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS GROUP",
            "identifier": "0087KZ",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Vein Center Houston",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 2007; 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.