Interventional Vascular Center LLC

Primary specialty

Vascular & Interventional Radiology PhysicianTaxonomy code 2085R0204X

Legal business name

INTERVENTIONAL VASCULAR CENTER LLC

Practice address

5602 Medical Center Dr
Katy, TX 77494-6325

Phone

(210) 299-4440

Fax

(210) 299-4442

NPI assigned

Sep 24, 2008

Last updated

Sep 30, 2008By 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. Sunil P Reddy

Title

President, Coo

Phone

(512) 909-8316

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1222214400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1222732800000",
    "number": "1699925818",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6906 SIR LANCELOT",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784135301",
            "telephone_number": "512-909-8316",
            "fax_number": "361-334-3926"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5602 MEDICAL CENTER DR",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774946325",
            "telephone_number": "210-299-4440",
            "fax_number": "210-299-4442"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTERVENTIONAL VASCULAR CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-24",
        "last_updated": "2008-09-30",
        "status": "A",
        "authorized_official_last_name": "REDDY",
        "authorized_official_first_name": "SUNIL",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "PRESIDENT, COO",
        "authorized_official_telephone_number": "512-909-8316",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Vascular & Interventional Radiology Physician in Katy, TX
• Providers in Katy, 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 Sep 30, 2008; 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.