Individual
DR. GORDON VINCENT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1901 SOUTH 1ST STREET, IMAGING SERVICE (114T), TEMPLE, TX 76504-7451
(254) 743-0875
(254) 742-4682
Mailing address
1901 SOUTH 1ST STREET, IMAGING SERVICE (114T), TEMPLE, TX 76504-7451
(254) 743-0875
(254) 742-4682
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
F2083
TX
Other
Enumeration date
10/12/2005
Last updated
07/27/2010
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