Individual
DR. JACK B VINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
8144 WALNUT HILL LN STE 800, DALLAS, TX 75231-4345
(214) 540-0700
(214) 540-0701
Mailing address
8144 WALNUT HILL LN STE 800, DALLAS, TX 75231-4345
(214) 540-0700
(214) 540-0701
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
G5735
TX
207RR0500X
Rheumatology Physician
Primary
G5735
TX
Other
Enumeration date
07/15/2005
Last updated
07/21/2022
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