Provider Demographics
NPI:1518473073
Name:BEST VEIN CARE OF HUNTSVILLE, LLC
Entity Type:Organization
Organization Name:BEST VEIN CARE OF HUNTSVILLE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING PARTNER
Authorized Official - Prefix:
Authorized Official - First Name:LARRY
Authorized Official - Middle Name:
Authorized Official - Last Name:TAYLOR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:205-824-6250
Mailing Address - Street 1:1 CHASE CORPORATE DR STE 200
Mailing Address - Street 2:
Mailing Address - City:HOOVER
Mailing Address - State:AL
Mailing Address - Zip Code:35244-7060
Mailing Address - Country:US
Mailing Address - Phone:205-824-6250
Mailing Address - Fax:205-824-6251
Practice Address - Street 1:2010 SOUTHPOINT PARK CIRCLE #170
Practice Address - Street 2:
Practice Address - City:HUNTSVILLE
Practice Address - State:AL
Practice Address - Zip Code:35801-5480
Practice Address - Country:US
Practice Address - Phone:205-824-6250
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-12-20
Last Update Date:2017-12-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2086S0129XAllopathic & Osteopathic PhysiciansSurgeryVascular SurgeryGroup - Single Specialty