Individual
THOMAS CHILDRESS VINSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
16010 PARK VALLEY DR, SUITE 200, ROUND ROCK, TX 78681
(512) 244-9944
(512) 244-9977
Mailing address
16010 PARK VALLEY DR, SUITE 200, ROUND ROCK, TX 78681-3574
(512) 244-9944
(512) 244-9977
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
L2043
TX
2086S0129X
Vascular Surgery Physician
L2043
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
78GN
BCBS
TX
Enumeration date
10/05/2005
Last updated
07/02/2018
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