Individual
DR. CHARLES ERIC VINSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3201 W HIGHWAY 22, CORSICANA, TX 75110-2450
(903) 654-1010
Mailing address
2509 BRANCH CREEK RD, VENUS, TX 76084-3304
(817) 360-6242
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
C-7341
AR
207P00000X
Emergency Medicine Physician
Primary
J0714
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
143760001
—
AR
05
—
146793801
—
TX
01
—
5L907
BCBS
AR
Enumeration date
06/01/2006
Last updated
11/20/2019
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