Vascular Access Center Of East Texas

LBN: Vascular Surgery Of Nacogdoches, P.A.
Vascular Access Center Of East Texas is an health care organization with primary practice located at 3618 North University Drive , Nacogdoches TX 75965-2539. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Vascular Surgery. Allopathic & Osteopathic Physicians / Vascular Surgery is the primary health care specialty. Vascular Surgery Of Nacogdoches, P.A. can be contacted via phone (936) 568-9993, or through Randel, Mark Alford via phone (936) 568-9993.

Contact Information

Primary practice address
3618 North University Drive Nacogdoches TX 75965-2539
Phone: (936) 568-9993
Fax: (936) 568-9996
Website:
Map and Directions
Authorized official contact:
Name: Randel, Mark Alford Doctor of Medicine (MD)
Phone: (936) 568-9993

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X H6529 Texas
Allopathic & Osteopathic Physicians / Vascular Surgery 2086S0129X H6529 Texas

Profile Details

NPI number 1033423801
LBN Legal business name Vascular Surgery Of Nacogdoches, P.A.
DBA Doing business as Vascular Access Center Of East Texas
Authorized official Randel, Mark Alford Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Aug 3rd, 2010
Last updated Sep 28th, 2011 - about 15 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1033423801 NPPES
Texas Other 0016TY BLUE CROSS BLUE SHIELD
Texas MEDICAID 220035402 BLUE CROSS BLUE SHIELD
Texas MEDICAID 220035401 BLUE CROSS BLUE SHIELD

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