Provider Demographics
NPI:1457633455
Name:ALL IN VEINS, LLC
Entity Type:Organization
Organization Name:ALL IN VEINS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DOCTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:W
Authorized Official - Last Name:HOVORKA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:956-457-2127
Mailing Address - Street 1:11011 DOMAIN DR
Mailing Address - Street 2:STE 104
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78758-7764
Mailing Address - Country:US
Mailing Address - Phone:512-814-0742
Mailing Address - Fax:
Practice Address - Street 1:11011 DOMAIN DR
Practice Address - Street 2:STE 104
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78758-7764
Practice Address - Country:US
Practice Address - Phone:512-814-0742
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-09-15
Last Update Date:2011-09-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXK08322086S0129X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2086S0129XAllopathic & Osteopathic PhysiciansSurgeryVascular SurgeryGroup - Single Specialty