Individual
DR. THOMAS PAUL VACEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D., M.S.
Contact information
Practice address
2900 LAMB CIR STE 201, CHRISTIANSBURG, VA 24073-6344
(540) 731-2328
(540) 639-3950
Mailing address
213 S JEFFERSON ST STE 1006, ROANOKE, VA 24011-1713
(540) 224-5352
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
0101268895
VA
207RC0000X
Cardiovascular Disease Physician
01080902A
IN
207RC0000X
Cardiovascular Disease Physician
35.122413
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0101268895
—
VA
05
—
0102643
—
OH
Enumeration date
05/27/2012
Last updated
09/15/2023
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