Individual
DR. VINCENT EDWARD PROVASEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MDPHD
Contact information
Practice address
1601 TRINITY ST BLDG B, AUSTIN, TX 78712-1765
(253) 682-9554
Mailing address
1501 RED RIVER ST FL 2, AUSTIN, TX 78712-1845
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
BP10093528
TX
Other
Enumeration date
04/29/2025
Last updated
04/29/2025
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