Individual
DR. VANCE ERIC WISE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
6431 FANNIN ST, SUITE MSB 2.130B, HOUSTON, TX 77030-5389
(713) 704-1478
(713) 704-1715
Mailing address
6431 FANNIN ST, SUITE MSB 2.130B, HOUSTON, TX 77030-5389
(713) 704-1478
(713) 704-1715
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
BP20043790
TX
Other
Enumeration date
07/07/2011
Last updated
06/08/2016
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