Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Immaculate Vascular Access Center PLLC

Organization Nephrology Physician · NPI 1639711534

Immaculate Vascular Access Center PLLC is a Nephrology Physician in San Benito, Texas. Registered with an NPI since 2019.

In the registry since
2019
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

349 S Helen Moore Rd Apt 6205
San Benito, TX 78586-9091
Phone: (240) 837-3293
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nephrology Physician (primary) Taxonomy 207RN0300X

Record details

NPI number1639711534
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Ngozi Okoba — Owner · (240) 837-3293
NPI enumeratedOctober 11, 2019
Last updated in NPPESOctober 11, 2019
Mailing address349 S Helen Moore Rd Apt 6205, San Benito, TX 78586-9091