Individual
MICHAEL VENINCASA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
500 LA VIDA CT, IRVING, TX 75062-6565
(972) 449-0540
(972) 449-0550
Mailing address
500 LA VIDA CT, IRVING, TX 75062-6565
(214) 356-3594
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
083029
CT
207RC0000X
Cardiovascular Disease Physician
Primary
H3614
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
047038701
—
TX
01
—
060026137
RAILROAD MEDICARE
TX
01
—
88K981
BCBS
TX
Enumeration date
06/14/2006
Last updated
01/20/2026
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