Provider Demographics
NPI:1952149213
Name:VESSEL INTEGRATED HEALTHCARE GROUP PLLC
Entity type:Organization
Organization Name:VESSEL INTEGRATED HEALTHCARE GROUP PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:BRADLEY
Authorized Official - Middle Name:
Authorized Official - Last Name:VESSEL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:936-320-6991
Mailing Address - Street 1:8138 SPREADWING ST
Mailing Address - Street 2:
Mailing Address - City:CONROE
Mailing Address - State:TX
Mailing Address - Zip Code:77385-1114
Mailing Address - Country:US
Mailing Address - Phone:225-241-5214
Mailing Address - Fax:
Practice Address - Street 1:930 FM 1960 RD STE E
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77073-2019
Practice Address - Country:US
Practice Address - Phone:832-666-7933
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-07-19
Last Update Date:2024-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Multi-Specialty