Individual
CARMINE M VINCIFORA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
703 E MARSHALL AVE STE 5008, LONGVIEW, TX 75601-5557
(903) 315-2032
Mailing address
PO BOX 846098, DALLAS, TX 75284-6098
(903) 606-6400
(903) 606-1522
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Q9072
TX
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
Q9072
TX
208600000X
Surgery Physician
R72157
AZ
Other
Enumeration date
06/10/2010
Last updated
04/28/2026
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