Individual
DR. VINCENT ANTHONY RESTIVO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
K6970
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
143889702
—
TX
01
—
8S5180
BCBS OF TEXAS INDIVIDUAL #
TX
Enumeration date
01/23/2006
Last updated
05/06/2016
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