Provider Demographics
NPI:1245047687
Name:ADVANCED VASCULAR SOLUTIONS
Entity type:Organization
Organization Name:ADVANCED VASCULAR SOLUTIONS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:A
Authorized Official - Last Name:LADDEN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:936-671-2135
Mailing Address - Street 1:5700 N EXPRESSWAY 77/83 STE 102
Mailing Address - Street 2:
Mailing Address - City:BROWNSVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:78526-4354
Mailing Address - Country:US
Mailing Address - Phone:956-504-7121
Mailing Address - Fax:
Practice Address - Street 1:1801 N ED CAREY DR STE E
Practice Address - Street 2:
Practice Address - City:HARLINGEN
Practice Address - State:TX
Practice Address - Zip Code:78550-8281
Practice Address - Country:US
Practice Address - Phone:956-887-8898
Practice Address - Fax:956-887-8897
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-12-17
Last Update Date:2024-12-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2086S0129XAllopathic & Osteopathic PhysiciansSurgeryVascular SurgeryGroup - Single Specialty