Organization Active NPI

Cosmetic Vein Centers of Texas

  • Vascular Surgery Physician
  • Houston, TX
National Provider Identifier
1932389137
Registry record updated Jul 29, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Surgery PhysicianTaxonomy code 2086S0129X
License
E6620 Issued in TX
Legal business name
COSMETIC VEIN CENTERS OF TEXAS
Practice address
445 Bay Area Blvd
Houston, TX 77058-2622
Phone
(281) 990-8346
Fax
(281) 990-9984
NPI assigned
Nov 6, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2008

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

Authorized official

Name
Dr. Mark Edward Skellenger, M.D.
Title
President
Phone
(281) 990-8346

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2086S0129X E6620 TX Primary

Addresses

Primary practice location

445 Bay Area Blvd
Houston, TX 77058-2622

Mailing address

445 Bay Area Blvd
Houston, TX 77058-2622
Phone (281) 990-8346

Other identifiers 1

IdentifierTypeStateIssuer
DC4826OtherTXMEDICARE RAILROAD

National Provider Directory

National Provider Directory

Locations

445 Bay Area Blvd
Houston, TX 77058
Phone (281) 990-8346

201 Blossom St
Ste D
Webster, TX 77598
Phone (281) 990-8346

Practitioners & affiliated clinicians

Practitioners 1

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": "1194307200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1217289600000",
    "number": "1932389137",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "445 BAY AREA BLVD",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770582622",
            "telephone_number": "281-990-8346",
            "fax_number": "281-990-9984"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "445 BAY AREA BLVD",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770582622",
            "telephone_number": "281-990-8346",
            "fax_number": "281-990-9984"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COSMETIC VEIN CENTERS OF TEXAS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-06",
        "last_updated": "2008-07-29",
        "status": "A",
        "authorized_official_last_name": "SKELLENGER",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "EDWARD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "281-990-8346",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery, Vascular Surgery",
            "state": "TX",
            "license": "E6620",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "DC4826",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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 Jul 29, 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.