Immaculate Vascular Access Center Pllc

NPI #1639711534 in San Benito, Texas

Provider Information

NPI Number
1639711534
Entity Type
Organization
Organization Name
Immaculate Vascular Access Center Pllc
Primary Specialty
Internal Medicine - Nephrology
Enumeration Date
Oct 11, 2019
Last Updated
Oct 11, 2019

Practice Location

Address
349 S HELEN MOORE RD APT 6205
State
Texas
ZIP Code
78586-9091
Phone
(240) 837-3293

Authorized Official

Name
NGOZI OKOBA, MD
Title
OWNER
Phone
(240) 837-3293

Specialties & Taxonomy Codes

Specialty
Internal Medicine - NephrologyNephrology

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