Provider Demographics
NPI:1588167423
Name:VENA CARE CLINIC LLC
Entity type:Organization
Organization Name:VENA CARE CLINIC LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:STEVE
Authorized Official - Middle Name:
Authorized Official - Last Name:ROPHAIL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:713-679-4487
Mailing Address - Street 1:PO BOX 130816
Mailing Address - Street 2:
Mailing Address - City:SPRING
Mailing Address - State:TX
Mailing Address - Zip Code:77393-0816
Mailing Address - Country:US
Mailing Address - Phone:832-813-8280
Mailing Address - Fax:800-500-2344
Practice Address - Street 1:2203 TIMBERLOCH PL STE 132
Practice Address - Street 2:
Practice Address - City:SPRING
Practice Address - State:TX
Practice Address - Zip Code:77380-1105
Practice Address - Country:US
Practice Address - Phone:281-903-6009
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-03-16
Last Update Date:2018-03-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes202K00000XAllopathic & Osteopathic PhysiciansPhlebologyGroup - Single Specialty