Provider Demographics
NPI:1437356482
Name:VASCULAR WELLNESS CENTER INC
Entity Type:Organization
Organization Name:VASCULAR WELLNESS CENTER INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:THOMAS
Authorized Official - Middle Name:W
Authorized Official - Last Name:UNRUH
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:931-787-1000
Mailing Address - Street 1:PO BOX 2715
Mailing Address - Street 2:
Mailing Address - City:CROSSVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:38557-2715
Mailing Address - Country:US
Mailing Address - Phone:931-787-1000
Mailing Address - Fax:931-787-1001
Practice Address - Street 1:1720 WEST AVE STE 103
Practice Address - Street 2:
Practice Address - City:CROSSVILLE
Practice Address - State:TN
Practice Address - Zip Code:38555-6066
Practice Address - Country:US
Practice Address - Phone:931-787-1000
Practice Address - Fax:931-787-1001
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-07-02
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNMD376232086S0129X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2086S0129XAllopathic & Osteopathic PhysiciansSurgeryVascular SurgeryGroup - Single Specialty