# VICTOR L VINES MD PA

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1801969621
- **Authorized official:** DAVID MCALPIN (BILLING MANAGER)
- **Authorized official phone:** (214) 369-8555

## Contact information

- **Practice address:** 12200 PARK CENTRAL DR, STE 403, DALLAS, TX 75251-2100
- **Practice address phone:** (972) 774-9990
- **Mailing address:** PO BOX 660046, DALLAS, TX 75266-0046
- **Mailing address phone:** (214) 369-8555

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | — | NULL | Yes |
| 207V00000X | Obstetrics & Gynecology Physician | — | — | Yes |
| 207VG0400X | Gynecology Physician | — | NULL | — |
| 207VG0400X | Gynecology Physician | — | — | — |
| 207VM0101X | Maternal & Fetal Medicine Physician | — | NULL | — |
| 207VM0101X | Maternal & Fetal Medicine Physician | — | — | — |
| 207VX0000X | Obstetrics Physician | — | NULL | — |
| 207VX0000X | Obstetrics Physician | — | — | — |

## Other

- **Enumeration date:** 11/17/2006
- **Last updated:** 10/19/2007