Individual
DR. VICTOR L VINES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
700 LONDONDERRY LN, DENTON, TX 76205-7878
(940) 387-3871
(940) 243-8001
Mailing address
700 LONDONDERRY LN, DENTON, TX 76205-7878
(940) 387-3871
(940) 243-8001
Taxonomy
Speciality
Code
Description
License number
State
207QA0401X
Addiction Medicine (Family Medicine) Physician
Primary
G8483
TX
207V00000X
Obstetrics & Gynecology Physician
G8483
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
115235704
—
TX
05
—
115235705
—
TX
01
—
8437B0
BCBS
TX
01
—
8BD727
BCBS
TX
Enumeration date
06/27/2005
Last updated
09/17/2019
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