Provider Demographics
NPI:1346757051
Name:VASCULAR & ENDOVASCULAR SURGERY OF TEXAS, PLLC
Entity Type:Organization
Organization Name:VASCULAR & ENDOVASCULAR SURGERY OF TEXAS, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:CHRISTOPHER
Authorized Official - Middle Name:J
Authorized Official - Last Name:BUSKEN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:210-369-9151
Mailing Address - Street 1:12501 JUDSON RD STE 201
Mailing Address - Street 2:
Mailing Address - City:LIVE OAK
Mailing Address - State:TX
Mailing Address - Zip Code:78233-4117
Mailing Address - Country:US
Mailing Address - Phone:210-369-9151
Mailing Address - Fax:210-616-2293
Practice Address - Street 1:12501 JUDSON RD STE 201
Practice Address - Street 2:
Practice Address - City:LIVE OAK
Practice Address - State:TX
Practice Address - Zip Code:78233-4117
Practice Address - Country:US
Practice Address - Phone:210-369-9151
Practice Address - Fax:210-616-2293
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-01-03
Last Update Date:2021-04-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2086S0129XAllopathic & Osteopathic PhysiciansSurgeryVascular SurgeryGroup - Single Specialty