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Individual

DR. VIVIAN CLINE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
301 SETON PKWY, SUITE 104, ROUND ROCK, TX 78665-8002
(512) 687-2300
(512) 687-2350
Mailing address
PO BOX 911230, DALLAS, TX 75391-1230
(972) 997-8000
(972) 234-0813

Taxonomy

Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
11850
NV
207RH0003X
Hematology & Oncology Physician
N0704
TX
207RX0202X
Medical Oncology Physician
Primary
N0704
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
197265501
TX
05
197265502
TX
05
2347893
OH
01
8BP365
BCBS OF TX
TX
01
P00361534
RAILROAD MEDICARE
NV
01
P00725233
RAILROAD MEDICARE
TX
Enumeration date
04/12/2006
Last updated
07/14/2016
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