Provectus Medical INC

NPI #1134461254 in Baytown, Texas

Provider Information

NPI Number: 1134461254
Entity Type: Organization
Organization Name: Provectus Medical INC
Primary Specialty: Surgery
Enumeration Date: Mar 27, 2013
Last Updated: Mar 27, 2013

Practice Location

Address: 6232 N HIGHWAY 146
City: Baytown
State: Texas
ZIP Code: 77523-1000
Phone: (409) 832-4413

Authorized Official

Name: ROBERT ALAN O'NEAL, D.C.
Title: PRESIDENT
Phone: (409) 839-4600

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Surgery	208600000X	Primary

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