Individual
MR. VICENTE HIPOLITO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
416 W 15TH ST STE 600, EDMOND, OK 73013-3672
(479) 318-2300
Mailing address
1000 SWAN LAKE CT, EDMOND, OK 73003-4806
(405) 664-6873
Taxonomy
Speciality
Code
Description
License number
State
156F00000X
Technician/Technologist
Primary
—
—
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
12/19/2023
Last updated
06/27/2025
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