MEDICARE: THE VEIN CENTER

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QM2500X	Medical Specialty Clinic/Center

General Provider Information

NPI Number	:	1609905728
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	THE VEIN CENTER

Provider Business Mailing Address
First Line	:	6750 POPLAR AVE
Second Line	:	SUITE 210
City	:	MEMPHIS
State	:	TN
Zip	:	38138-7438
Country	:	US
Telephone Number	:	901-757-5740
Fax Number	:	901-758-8047

Provider Business Practice Location Address
First Line	:	6750 POPLAR AVE
Second Line	:	SUITE 210
City	:	MEMPHIS
State	:	TN
Zip	:	38138-7438
Country	:	US
Telephone Number	:	901-757-5740
Fax Number	:	901-758-8047

Authorized Official
Title or Position	:	CHIEF MANAGER
Name	:	DR. LOUIS BARRY OSTROW
Credential	:	M.D.
Telephone Number	:	901-757-5740

Provider Enumeration Date	:	03/05/2007
Last Update Date	:	08/22/2020

Similar Medicare Providers

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Practice Location Address:

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Practice Location Address:

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1093871907 — DR. JAMES E. SEXTON D.D.S.
Practice Location Address:

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Directions to “THE VEIN CENTER ” Practice Location

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