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Individual

DR. RICHARD PATRICK VINSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
8820 GATEWAY BLVD N, EL PASO, TX 79904-1947
(915) 759-7700
(915) 759-7778
Mailing address
8820 GATEWAY BLVD N, EL PASO, TX 79904-1947
(915) 759-7700
(915) 759-7778

Taxonomy

Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
K4601
TX
207ND0101X
MOHS-Micrographic Surgery Physician
K4601
TX
207ND0900X
Dermatopathology Physician
K4601
TX
207NI0002X
Clinical & Laboratory Dermatological Immunology Physician
K4601
TX
207NP0225X
Pediatric Dermatology Physician
K4601
TX
207NS0135X
Procedural Dermatology Physician
K4601
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1777849-01
TX
Enumeration date
09/13/2006
Last updated
10/17/2011
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