NPIMap

Organization Active NPI

Sealy Vascular Institute LLC

  • Vascular Surgery Physician
  • Sealy, TX
National Provider Identifier
1982458048
Registry record updated Apr 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Surgery PhysicianTaxonomy code 2086S0129X
Legal business name
SEALY VASCULAR INSTITUTE LLC
Practice address
1036 N Circle Dr Unit 101
Sealy, TX 77474-3336
Phone
(979) 627-6224
NPI assigned
Apr 15, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 15, 2024

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

Authorized official

Name
Maricela Garcia, CREDENTIALING
Title
Credentialing Specialist
Phone
(713) 496-1945

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2086S0129X Primary

Addresses

Primary practice location

1036 N Circle Dr Unit 101
Sealy, TX 77474-3336

Mailing address

1036 N Circle Dr Unit 101
Sealy, TX 77474-3336
Phone (979) 627-6224

Other names 1

  • Sealy Vascular Institute LLC Former legal business name

National Provider Directory

National Provider Directory

Locations

1036 N Circle Dr
Unit 101
Sealy, TX 77474
Phone (979) 627-6224

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": "1713139200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1713139200000",
    "number": "1982458048",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1036 N CIRCLE DR UNIT 101",
            "city": "SEALY",
            "state": "TX",
            "postal_code": "774743336",
            "telephone_number": "979-627-6224"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1036 N CIRCLE DR UNIT 101",
            "city": "SEALY",
            "state": "TX",
            "postal_code": "774743336",
            "telephone_number": "979-627-6224"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SEALY VASCULAR INSTITUTE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-15",
        "last_updated": "2024-04-15",
        "certification_date": "2024-04-15",
        "status": "A",
        "authorized_official_last_name": "GARCIA",
        "authorized_official_first_name": "MARICELA",
        "authorized_official_title_or_position": "CREDENTIALING SPECIALIST",
        "authorized_official_telephone_number": "713-496-1945",
        "authorized_official_credential": "CREDENTIALING"
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery, Vascular Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sealy Vascular Institute LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Sealy, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2024; 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.