Provider Demographics
NPI:1114693199
Name:ACCESS VIR PLLC
Entity Type:Organization
Organization Name:ACCESS VIR PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MICHELLE
Authorized Official - Middle Name:NGUYEN
Authorized Official - Last Name:MANEEVESE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:713-504-4919
Mailing Address - Street 1:5151 KATY FWY STE 170
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77007-2261
Mailing Address - Country:US
Mailing Address - Phone:713-703-2349
Mailing Address - Fax:
Practice Address - Street 1:5151 KATY FWY STE 170
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77007-2261
Practice Address - Country:US
Practice Address - Phone:713-703-2349
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-08-19
Last Update Date:2021-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2085R0204XAllopathic & Osteopathic PhysiciansRadiologyVascular & Interventional RadiologyGroup - Multi-Specialty
No2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic RadiologyGroup - Multi-Specialty