| Vascular Institute Of Houston Pllc | |
|
7515 Main St Ste 100 Houston TX 77030-4549 | |
| (832) 777-7570 | |
| (281) 709-2575 |
| Full Name | Vascular Institute Of Houston Pllc |
|---|---|
| Speciality | Surgery |
| Location | 7515 Main St Ste 100, Houston, Texas |
| Authorized Official Name and Position | Tracy L Basso (OWNER) |
| Authorized Official Contact | 8327777570 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Vascular Institute Of Houston Pllc 635 Anderson Rd Ste 4 Davis CA 95616-3505 Ph: (832) 777-7570 | Vascular Institute Of Houston Pllc 7515 Main St Ste 100 Houston TX 77030-4549 Ph: (832) 777-7570 |
| NPI Number | 1770107856 |
|---|---|
| Provider Enumeration Date | 06/03/2020 |
| Last Update Date | 04/16/2024 |
| Medicare PECOS PAC ID | 5496171902 |
|---|---|
| Medicare Enrollment ID | O20200814000528 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770107856 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Secondary |
| 2086S0129X | Surgery - Vascular Surgery | (* (Not Available)) | Primary |
| Provider Name | Johnna K Jones |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1114997186 PECOS PAC ID: 7214829910 Enrollment ID: I20040326001316 |
| Provider Name | Mehrzad Zarghouni |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1780900993 PECOS PAC ID: 0143485474 Enrollment ID: I20120711000346 |
| Provider Name | Murthy R Chamarthy |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1376854752 PECOS PAC ID: 0143536458 Enrollment ID: I20150901002810 |
| Provider Name | Anh Ngo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437794195 PECOS PAC ID: 9436576006 Enrollment ID: I20200827000814 |
| Provider Name | Demia Houston Louis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952908519 PECOS PAC ID: 4789097866 Enrollment ID: I20210113002743 |
| Provider Name | Richard Zuidema |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003491838 PECOS PAC ID: 2961811211 Enrollment ID: I20210517002727 |
| Provider Name | Inder Singh |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1417117581 PECOS PAC ID: 2365597242 Enrollment ID: I20221208000916 |
| Provider Name | Katrina King |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245901693 PECOS PAC ID: 7810384583 Enrollment ID: I20231016000082 |
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