Organization
VINCENT R MACIAS, MD PA CLINICAL GENETICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. VINCENT RICHARD MACIAS MD (OWNER)
(956) 686-2920
Entity
Organization
Contact information
Practice address
725 E ESPERANZA AVE, SUITE A, MCALLEN, TX 78501-1402
(956) 686-2920
(956) 686-2685
Mailing address
725 E ESPERANZA AVE, SUITE A, MCALLEN, TX 78501-1402
(956) 686-2920
(956) 686-2685
Taxonomy
Speciality
Code
Description
License number
State
207SG0201X
Clinical Genetics (M.D.) Physician
Primary
G9768
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
153910802
—
TX
Enumeration date
05/23/2007
Last updated
10/07/2009
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