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

Innovative Vascular Institute, PLLC

Organization Vascular & Interventional Radiology Physician · NPI 1134803869

Innovative Vascular Institute, PLLC is a Vascular & Interventional Radiology Physician in San Antonio, Texas. Registered with an NPI since 2023.

In the registry since
2023
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1010 NW Loop 410 Ste 100B
San Antonio, TX 78213-2220
Phone: (210) 465-7015
Fax: (210) 465-7014
Show map & directions

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

Specialties & licences

Vascular & Interventional Radiology Physician (primary) Taxonomy 2085R0204X

Record details

NPI number1134803869
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official William Long — Medical Director · (318) 792-6589
NPI enumeratedJune 13, 2023
Last updated in NPPESJune 13, 2023
Certification dateJune 13, 2023
Mailing address1010 Nw Loop 410 Ste 100b, San Antonio, TX 78213-2220

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