Individual
DR. VINCENT R MACIAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
725 E ESPERANZA AVE STE A, MCALLEN, TX 78501-1402
(956) 686-2920
(956) 686-2685
Mailing address
725 E ESPERANZA AVE STE A, MCALLEN, TX 78501-1402
(956) 686-2920
(956) 686-2685
Taxonomy
Speciality
Code
Description
License number
State
207SG0201X
Clinical Genetics (M.D.) Physician
Primary
G9768
TX
208000000X
Pediatrics Physician
G9768
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
153910802
—
TX
01
—
G9868
MEDICAL LICENSE
TX
Enumeration date
07/11/2006
Last updated
10/07/2009
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