Individual
DR. CHRIS MICHAEL VICENTE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1207 ARISTA DR, STE 103, ROCKWALL, TX 75032-6657
(214) 703-1900
(214) 703-1901
Mailing address
3523 MCKINNEY AVE, STE 735, DALLAS, TX 75204-1401
(214) 703-1900
(214) 703-1901
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
M3414
TX
2084N0400X
Neurology Physician
ME82475
FL
2084S0012X
Sleep Medicine (Psychiatry & Neurology) Physician
M3414
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
264998500
—
FL
Enumeration date
03/24/2006
Last updated
02/13/2012
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