Provider Demographics
NPI:1417778663
Name:THE VEIN CENTER LLC
Entity type:Organization
Organization Name:THE VEIN CENTER LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CHRISTOPHER
Authorized Official - Middle Name:
Authorized Official - Last Name:NGUYEN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:832-334-7756
Mailing Address - Street 1:134 VISION PARK BLVD STE 130
Mailing Address - Street 2:
Mailing Address - City:SHENANDOAH
Mailing Address - State:TX
Mailing Address - Zip Code:77384-3030
Mailing Address - Country:US
Mailing Address - Phone:832-791-1600
Mailing Address - Fax:832-791-1601
Practice Address - Street 1:26940 KUYKENDAHL RD STE 105
Practice Address - Street 2:
Practice Address - City:TOMBALL
Practice Address - State:TX
Practice Address - Zip Code:77375-3515
Practice Address - Country:US
Practice Address - Phone:832-791-1600
Practice Address - Fax:832-791-1601
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-10-21
Last Update Date:2024-10-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes202K00000XAllopathic & Osteopathic PhysiciansPhlebologyGroup - Single Specialty