Individual
JAMES S VINCENT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
301 MEDIC LN, ALVIN, TX 77511-5542
(281) 331-6141
(281) 331-3316
Mailing address
PO BOX 200993, HOUSTON, TX 77216-0993
(281) 784-1111
(281) 784-1555
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
L5172
TX
207PP0204X
Pediatric Emergency Medicine (Emergency Medicine) Physician
L5172
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1316927577
TRICARE SOUTH
TX
05
—
164913904
—
TX
05
—
164913905
—
TX
05
—
164913906
—
TX
01
—
8G6289
BC/BS PROVIDER NUMBER
TX
Enumeration date
01/21/2006
Last updated
05/12/2010
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