Provider Demographics
NPI:1609826072
Name:WILLIAM P. KALCHOFF, MD PA
Entity Type:Organization
Organization Name:WILLIAM P. KALCHOFF, MD PA
Other - Org Name:THE VEIN TREATMENT CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CARDIOVASCULAR/THORACIC SURGEON
Authorized Official - Prefix:
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:P
Authorized Official - Last Name:KALCHOFF
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:281-587-1141
Mailing Address - Street 1:450 GEARS RD
Mailing Address - Street 2:SUITE 320
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77067-4529
Mailing Address - Country:US
Mailing Address - Phone:281-587-1141
Mailing Address - Fax:281-587-1720
Practice Address - Street 1:8313 SW FWY
Practice Address - Street 2:SUITE 201
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77074-1611
Practice Address - Country:US
Practice Address - Phone:713-533-0535
Practice Address - Fax:713-774-3258
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-10
Last Update Date:2014-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXF27422086S0129X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2086S0129XAllopathic & Osteopathic PhysiciansSurgeryVascular SurgeryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX00F86YOtherBCBS TX
TX094002501Medicaid
TX00F86YMedicare ID - Type Unspecified
TX0A3837Medicare PIN
TX094002501Medicaid