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General NPI Number Information
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NPI Number | 1205264314
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Entity Type | Organization
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Legal Business Name | VEIN AND MEDICAL CARE, PLLC
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Dates
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Enumeration Date | 10/29/2013
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Last Update Date | 12/30/2019
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Provider Practice Location Address
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Address Line | 3100 WILCREST DR STE 130
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City | HOUSTON
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State | TX
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Zip | 77042-3548
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Country | US
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Telephone | 713-244-9944
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Fax | 713-244-9966
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Provider Business Mailing Address
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Address Line | 3100 WILCREST DR STE 130
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City | HOUSTON
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State | TX
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Zip | 77042-3548
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Country | US
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Telephone | 713-244-9944
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Fax | 713-244-9966
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. CHIEU DINH NGUYEN
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Credential | M.D.
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Telephone | 713-244-9944
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208G00000X
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Taxonomy Name | Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
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License Number | J1469
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 2086S0129X
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Taxonomy Name | Vascular Surgery Physician
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License Number | J1469
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License Number State | TX
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Taxonomy #3
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | J1469
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License Number State | TX
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