Individual
DR. ROBERT SHELTON VINEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2405 W MISSOURI AVE, MIDLAND, TX 79701-6800
(432) 697-1061
(432) 697-7089
Mailing address
2405 W MISSOURI AVE, MIDLAND, TX 79701-6800
(432) 697-1061
(432) 697-7089
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
E8996
TX
2086S0127X
Trauma Surgery Physician
E8996
TX
2086S0129X
Vascular Surgery Physician
Primary
E8996
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000W6548
MEDICAID
NM
01
—
126183100
FIRSTCARE
—
01
—
770001784
MEDICARE RAILROAD
—
01
—
81871J
MEDICARE PROVIDER NUMBER
TX
01
—
84341G
BLUE CROSS
TX
05
—
PO81871J8
—
TX
Enumeration date
07/03/2006
Last updated
04/15/2015
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