Individual
CESAR E VIVANCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
10555 VISTA DEL SOL DR., STE 120, EL PASO, TX 79925-7947
(915) 590-6770
Mailing address
10555 VISTA DEL SOL DR, STE 120, EL PASO, TX 79925-7942
(915) 590-6770
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
L7915
TX
207RH0003X
Hematology & Oncology Physician
Primary
L7915
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
166145601
—
TX
Enumeration date
02/01/2007
Last updated
03/06/2017
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