Healthcare Provider Details

I. General information

NPI: 1508411067
Provider Name (Legal Business Name): VEIN TREATMENT SPECIALISTS PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/01/2019
Last Update Date: 08/01/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4543 POST OAK PLACE DR STE 125
HOUSTON TX
77027-3114
US

IV. Provider business mailing address

PO BOX 8887
GREENVILLE TX
75404-8887
US

V. Phone/Fax

Practice location:
  • Phone: 832-789-8346
  • Fax:
Mailing address:
  • Phone: 903-200-1277
  • Fax: 903-269-3503

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code202K00000X
TaxonomyPhlebology Physician
License Number
License Number State

VIII. Authorized Official

Name: CHRISTIAN Q TRAN
Title or Position: OWNER/PROVIDER
Credential: DO
Phone: 832-398-6467