Healthcare Provider Details

I. General information

NPI: 1619661105
Provider Name (Legal Business Name): MAS VASCULAR PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/07/2023
Last Update Date: 06/07/2023
Certification Date: 06/07/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

109 E TORONTO AVE STE 100
MCALLEN TX
78503-1224
US

IV. Provider business mailing address

4771 SWEETWATER BLVD # 337
SUGAR LAND TX
77479-3121
US

V. Phone/Fax

Practice location:
  • Phone: 956-803-0104
  • Fax:
Mailing address:
  • Phone: 953-803-0104
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2085R0204X
TaxonomyVascular & Interventional Radiology Physician
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code2085R0202X
TaxonomyDiagnostic Radiology Physician
License Number
License Number State

VIII. Authorized Official

Name: MOHAMMAD ALI SAEED
Title or Position: OWNER
Credential: MD
Phone: 956-803-0104