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Contact Information

PERIPHERAL VASCULAR ASSOCIATES, P.A.
610 NORTH MAIN AVENUE
2ND FLOOR
SAN ANTONIO, TX78205-1204
 Phone: 210-237-4492
 Fax: 210-828-0590
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Vascular Surgery

2086S0129X 76 Physician/Peripheral Vascular Disease
 

Acute Care

363LA2100X 50 Nurse Practitioner
 

Adult Health

363LA2200X 50 Nurse Practitioner
 

Family

363LF0000X 50 Nurse Practitioner
 

Interventional Cardiology

207RI0011X 11 Physician/Internal Medicine
 

Nurse Practitioner

363L00000X 50 Nurse Practitioner
 

Physical Medicine & Rehabilitation

208100000X 25 Physician/Physical Medicine and Rehabilitation
 

Physician Assistant

363A00000X 97 Physician Assistant
 

Prosthetist

224P00000X 56 Individual Certified Prosthetist
 

Surgery

208600000X 02 Physician/General Surgery
 

Surgery, Foot & Ankle

213ES0103X 48 Podiatry
Indicates primary specialty

NPI Profile & details for PERIPHERAL VASCULAR ASSOCIATES, P.A.

NPI # 1396791570
LBN Legal business name PERIPHERAL VASCULAR ASSOCIATES, P.A.
Authorized official PHYLLIS DAVENPORT - (ADMINISTRATOR)
Entity Organization
Organization subpart 1 No
Enumeration date 05/26/2006
Last updated 07/21/2023 - About 3 years ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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