Provider Demographics
NPI:1275343527
Name:ENERGOS CONSULTING GROUP LLC DBA VASCULAR IMAGING PROFESSIONALS
Entity type:Organization
Organization Name:ENERGOS CONSULTING GROUP LLC DBA VASCULAR IMAGING PROFESSIONALS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:JOSE
Authorized Official - Middle Name:
Authorized Official - Last Name:M MOYA
Authorized Official - Suffix:
Authorized Official - Credentials:RVS
Authorized Official - Phone:956-867-2551
Mailing Address - Street 1:5513 N 4TH ST
Mailing Address - Street 2:
Mailing Address - City:MCALLEN
Mailing Address - State:TX
Mailing Address - Zip Code:78504-2746
Mailing Address - Country:US
Mailing Address - Phone:956-867-2551
Mailing Address - Fax:
Practice Address - Street 1:5513 N 4TH ST
Practice Address - Street 2:
Practice Address - City:MCALLEN
Practice Address - State:TX
Practice Address - Zip Code:78504-2746
Practice Address - Country:US
Practice Address - Phone:956-867-2551
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-01-09
Last Update Date:2025-01-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes246XC2903XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist CardiovascularVascular SpecialistGroup - Single Specialty