Organization
VICTOR L VINES MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID MCALPIN (BILLING MANAGER)
(214) 369-8555
Entity
Organization
Contact information
Practice address
12200 PARK CENTRAL DR, STE 403, DALLAS, TX 75251-2100
(972) 774-9990
Mailing address
PO BOX 660046, DALLAS, TX 75266-0046
(214) 369-8555
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
—
—
207VG0400X
Gynecology Physician
—
—
207VM0101X
Maternal & Fetal Medicine Physician
—
—
207VX0000X
Obstetrics Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00210T
BCBS
TX
Enumeration date
11/17/2006
Last updated
10/19/2007
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