PASADENA VASCULAR DIRECT, LLC (NPI# 1720500317) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720500317 |
| Entity Type | Organization |
| Organization Name | PASADENA VASCULAR DIRECT, LLC |
| Practice Address |
4301 Vista Rd Ste 109 Pasadena TX 77504-2117 |
| Practice Telephone | (281) 416-5216 |
| Mailing Telephone | 2814165216 |
| Enumeration Date | 2017-07-14 |
| Last Update Date | 2017-07-14 |
| Authorized Official Name | DANEL MONROE (MANAGER) |
| Authorized Official Telephone | 2814165216 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2086S0129X |
Surgery Specialization: Vascular Surgery |
Allopathic & Osteopathic Physicians |
| Street Address |
4301 VISTA RD STE 109 |
| City | PASADENA |
| State | TX |
| Zip Code | 77504-2117 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447869714 | Cdva Pllc | Surgery | 4301 Vista Rd Ste 109, Pasadena, TX 77504-2117 | 2020-07-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316408149 | Caitlin Demi Valverde | Nurse Practitioner | 3412 Burke Rd Ste 100, Pasadena, TX 77504 | 2019-03-26 |
| 1780164475 | Erin Osmus | Physical Therapist | 3434 Watter, Pasadena, TX 77504 | 2018-08-21 |
| 1184117103 | Lifealysis Kidney Care, LLC | Clinic/Center | 4300 Fairmont Pkwy Ste 100, Pasadena, TX 77504 | 2018-06-13 |
| 1477044253 | Karen Colleen Watkins | Registered Nurse | 3332 Plainview Drive, Pasadena, TX 77504 | 2018-05-28 |
| 1619465192 | Morgan Pharmacy | Pharmacy | 3316 Shaver St Ste 6, Pasadena, TX 77504 | 2018-04-30 |
| 1528566890 | Assured Imaging Women's Wellness of Southern Arizona, LLC | Clinic/Center | 4008 Vista Rd. Bldg B Suite B101, Pasadena, TX 77504 | 2018-01-31 |
| 1972015022 | Oasis Mind and Body | Psychiatry & Neurology | 3301 Plainview, 1, Pasadena, TX 77504 | 2017-10-30 |
| 1629503933 | Inner City Podiatry Professional Limited Liability Company | Podiatrist | 3801 Vista Rd Ste 180, Pasadena, TX 77504 | 2017-04-24 |
| 1063952943 | Irfan Jawed Md Pllc | Internal Medicine | 4102 Woodlawn Avenue, Ste 160, Pasadena, TX 77504 | 2017-02-27 |
| 1669911707 | Quetzalli Zavala | Nurse Practitioner | 3326 Watters Rd Bldg B, Pasadena, TX 77504 | 2017-02-22 |
| Find all providers in zip 77504 | ||||
| Taxonomy Code | 2086S0129X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| Specialization | Vascular Surgery |
| A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447869714 | Cdva Pllc | Surgery | 4301 Vista Rd Ste 109, Pasadena, TX 77504-2117 | 2020-07-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407482003 | Endovascular Lab Pllc | Surgery | 612 N Washington Avenue, Suite 100, Odessa, TX 79761 | 2020-03-16 |
| 1356980163 | Jeffrey M. Martinez, M.d., P.a. | Surgery | 525 Centre Oak Drive, Suite 140, San Antonio, TX 78258 | 2019-12-26 |
| 1245875061 | Usa Vascular Center of Dallas Pllc | Surgery | 2300 W Fm 544 Ste B, Wylie, TX 75098-4931 | 2019-11-15 |
| 1740830959 | Coastal Plains Endeavors LLC | Surgery | 1602 E Houston St Ste A, Beeville, TX 78102-5335 | 2019-09-19 |
| 1205488632 | Usa Vein Clinics of Dallas Pllc | Surgery | 3128 Forest Ln Ste 320, Dallas, TX 75234-7761 | 2019-07-16 |
| 1558922625 | Sudad Kareem Al Hadad | Surgery | 12579 Richmond Ave Ste 800, Houston, TX 77082-2555 | 2019-06-27 |
| 1043782907 | Timothy C. Pringle Md Pa | Surgery | 4541 N. Josey Lane, Suite 140, Carrollton, TX 75010 | 2018-12-17 |
| 1518449701 | Kenton Lee Rommens | Surgery | 6400 Fannin St. Suite 2850, Houston, TX 77030 | 2018-09-04 |
| 1336633999 | Total Vein Treatment Centers | Surgery | 2301 Marsh Ln Ste 210, Plano, TX 75093-8497 | 2018-06-18 |
| 1508384652 | Jcm Vein Pllc Vein Care Coastal Bend | Surgery | 3301 S Alameda St Ste 402, Corpus Christi, TX 78411-1882 | 2017-09-08 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.