Individual
VINCENT P RASCON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
1913 HERITAGE BLVD, MIDLAND, TX 79707-9752
(432) 520-8396
(432) 520-3296
Mailing address
1913 HERITAGE BLVD, MIDLAND, TX 79707-9752
(432) 520-8396
(432) 520-3296
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
1390
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0052CT
BCBS
TX
05
—
018575301
—
TX
01
—
122140100
FIRSTCARE
TX
01
—
162941201
MEDICAID DME
TX
01
—
480027409
RR MCR
—
01
—
5927378
AETNA
TX
01
—
9686999
CIGNA
TX
Enumeration date
09/20/2005
Last updated
07/29/2008
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