TEXAS INTERVENTIONAL AND VASCULAR SPECIALIST PA
Radiology in Houston, TX

License number
Texas P2390
Category
Radiology
Type
Vascular Surgery
Owner
Name: SATISH VENKATA VAYUVEGULA MD
Title: PHYSICIAN / SHAREHOLDER
Phone: (708) 873-3450
Address
Address 2
122 Vintage Park Blvd Building E SUITE G, Houston, TX 77070
2001 Butterfield Rd SUITE 300, Downers Grove, IL 60515
National Provider ID: 1962849034
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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TEXAS INTERVENTIONAL AND VASCULAR SPECIALISTS PA

2001 Butterfield Rd STE 300, Downers Grove, IL 60515

Status:
Inactive
Registration:
May 20, 2013
State ID:
0801787581
Entity State:
TX
Agent:
Corporation Service Company Dba Csc - Lawyers Inco,211 E 7 St SUITE 620, Austin, TX 78701 (Physical)
TIN:
32051033572

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