1114700770 NPI number — MACK VEIN SPECIALISTS

Table of content: (NPI 1114700770)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1114700770 NPI number — MACK VEIN SPECIALISTS

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
MACK VEIN SPECIALISTS
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
GREAT BASIN VEIN SPECIALISTS
Provider Other Organization Name Type Code:
3
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1114700770
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
10/12/2023
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
605 SIERRA ROSE DR STE 4
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
RENO
Provider Business Mailing Address State Name:
NV
Provider Business Mailing Address Postal Code:
89511-2093
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
775-451-1730
Provider Business Mailing Address Fax Number:
775-451-1713

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
605 SIERRA ROSE DR STE 4
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
RENO
Provider Business Practice Location Address State Name:
NV
Provider Business Practice Location Address Postal Code:
89511-2093
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
775-451-1730
Provider Business Practice Location Address Fax Number:
775-451-1713
Provider Enumeration Date:
08/17/2023

Additional Information

Authorized Official

Authorized Official Last Name:
MACK
Authorized Official First Name:
ANWAR
Authorized Official Middle Name:
SELASSIE
Authorized Official Title or Position:
PRESIDENT
Authorized Official Telephone Number:
832-744-0949

Provider Taxonomy Codes

  • Taxonomy code: 207LP2900X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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