Organization Active NPI

Vein Disease Care of El Paso, PLLC

  • Specialist
  • El Paso, TX
National Provider Identifier
1760824155
Registry record updated Nov 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
G0794 Issued in TX
Legal business name
VEIN DISEASE CARE OF EL PASO, PLLC
Practice address
1700 Murchison Dr Ste 211
El Paso, TX 79902-2918
Phone
(915) 533-5100
Fax
(915) 533-5101
NPI assigned
Jul 25, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 26, 2024

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

Authorized official

Name
Ana Luisa Valdez
Title
Office Manager
Phone
(915) 533-5100

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 174400000X G0794 TX Primary

Addresses

Primary practice location

1700 Murchison Dr Ste 211
El Paso, TX 79902-2918

Mailing address

1700 Murchison Dr Ste 211
El Paso, TX 79902-2918
Phone (915) 533-5100

Other names 1

  • Center For Venous Disease Management Account, PLLC Former legal business name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140730000153 TX Part B Supplier - Clinic/Group Practice 5799901666 Receives reassigned benefits from 2 practitioners
Practice locations: El Paso, TX

National Provider Directory

National Provider Directory

Locations

1700 Murchison Dr
Ste 211
El Paso, TX 79902
Phone (915) 533-5100

2400 Trawood Dr
Ste 202
El Paso, TX 79936
Phone (915) 533-5100

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1374710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1732579200000",
    "number": "1760824155",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1700 MURCHISON DR STE 211",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799022918",
            "telephone_number": "915-533-5100",
            "fax_number": "915-533-5101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 MURCHISON DR STE 211",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799022918",
            "telephone_number": "915-533-5100",
            "fax_number": "915-533-5101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VEIN DISEASE CARE OF EL PASO, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-07-25",
        "last_updated": "2024-11-26",
        "certification_date": "2024-11-26",
        "status": "A",
        "authorized_official_last_name": "VALDEZ",
        "authorized_official_first_name": "ANA",
        "authorized_official_middle_name": "LUISA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "915-533-5100"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "TX",
            "license": "G0794",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Center For Venous Disease Management Account, PLLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in El Paso, TX

Sources for this page

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