Provider Demographics
NPI:1164014890
Name:VEROS CLINICAL SERVICES LLC
Entity Type:Organization
Organization Name:VEROS CLINICAL SERVICES LLC
Other - Org Name:IMMUNOE HEALTH CENTERS, A VEROS HEALTH COMPANY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CHIEF MEDICAL OFFICER
Authorized Official - Prefix:DR
Authorized Official - First Name:ISAAC
Authorized Official - Middle Name:R
Authorized Official - Last Name:MELAMED
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:303-803-8330
Mailing Address - Street 1:2801 NETWORK BLVD STE 505
Mailing Address - Street 2:
Mailing Address - City:FRISCO
Mailing Address - State:TX
Mailing Address - Zip Code:75034-1895
Mailing Address - Country:US
Mailing Address - Phone:833-765-3648
Mailing Address - Fax:603-718-3824
Practice Address - Street 1:3240 E 104TH AVE
Practice Address - Street 2:
Practice Address - City:THORNTON
Practice Address - State:CO
Practice Address - Zip Code:80233-4406
Practice Address - Country:US
Practice Address - Phone:303-224-4700
Practice Address - Fax:303-452-4392
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-02-04
Last Update Date:2022-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral PracticeGroup - Multi-Specialty