Provider Demographics
NPI:1891291902
Name:VASCULAR INSTITUTE OF HENDERSON, PC
Entity Type:Organization
Organization Name:VASCULAR INSTITUTE OF HENDERSON, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:AUTHORIZED OFFICIAL
Authorized Official - Prefix:
Authorized Official - First Name:SARA
Authorized Official - Middle Name:
Authorized Official - Last Name:ARREDONDO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:702-899-8095
Mailing Address - Street 1:375 N STEPHANIE ST STE 1011
Mailing Address - Street 2:
Mailing Address - City:HENDERSON
Mailing Address - State:NV
Mailing Address - Zip Code:89014-8901
Mailing Address - Country:US
Mailing Address - Phone:702-899-8095
Mailing Address - Fax:844-323-0963
Practice Address - Street 1:375 N STEPHANIE ST STE 1011
Practice Address - Street 2:
Practice Address - City:HENDERSON
Practice Address - State:NV
Practice Address - Zip Code:89014-8901
Practice Address - Country:US
Practice Address - Phone:702-899-8095
Practice Address - Fax:844-323-0963
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-04-05
Last Update Date:2023-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RI0011XAllopathic & Osteopathic PhysiciansInternal MedicineInterventional CardiologyGroup - Multi-Specialty
No261QP1100XAmbulatory Health Care FacilitiesClinic/CenterPodiatricGroup - Multi-Specialty