Provider Demographics
NPI:1679787105
Name:VEIN ASSOCIATES PROFESSIONAL ASSOCIATION
Entity type:Organization
Organization Name:VEIN ASSOCIATES PROFESSIONAL ASSOCIATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:RACHEL
Authorized Official - Middle Name:A
Authorized Official - Last Name:TAMNEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:830-257-0795
Mailing Address - Street 1:PO BOX 294777
Mailing Address - Street 2:
Mailing Address - City:KERRVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:78029-4777
Mailing Address - Country:US
Mailing Address - Phone:830-257-0795
Mailing Address - Fax:830-257-6388
Practice Address - Street 1:723 HILL COUNTRY DR
Practice Address - Street 2:SUITE C
Practice Address - City:KERRVILLE
Practice Address - State:TX
Practice Address - Zip Code:78028-5904
Practice Address - Country:US
Practice Address - Phone:830-257-0795
Practice Address - Fax:830-257-6388
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-10
Last Update Date:2008-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX0019PMOtherBCBS
TXDG3570Medicare PIN
TX00X614Medicare PIN
TX0019PMOtherBCBS