Provider Demographics
NPI:1689044281
Name:TEXAS ENDOVASCULAR ASSOCIATES, PLLC
Entity type:Organization
Organization Name:TEXAS ENDOVASCULAR ASSOCIATES, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEDICAL DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:ERIC
Authorized Official - Middle Name:
Authorized Official - Last Name:HARDEE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:713-575-3686
Mailing Address - Street 1:4747 BELLAIRE BLVD
Mailing Address - Street 2:SUITE 575
Mailing Address - City:BELLAIRE
Mailing Address - State:TX
Mailing Address - Zip Code:77401-4527
Mailing Address - Country:US
Mailing Address - Phone:713-575-3686
Mailing Address - Fax:713-575-3688
Practice Address - Street 1:4747 BELLAIRE BLVD
Practice Address - Street 2:SUITE 575
Practice Address - City:BELLAIRE
Practice Address - State:TX
Practice Address - Zip Code:77401-4527
Practice Address - Country:US
Practice Address - Phone:713-575-3686
Practice Address - Fax:713-575-3688
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-09-25
Last Update Date:2015-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2085R0204XAllopathic & Osteopathic PhysiciansRadiologyVascular & Interventional RadiologyGroup - Multi-Specialty