Restivo, Vincent Anthony

Restivo, Vincent Anthony is an individual health care provider with primary practice located at 12171 W Parmer Ln Suite 201, Cedar Park TX 78613-7361. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Restivo, Vincent Anthony can be contacted via phone (512) 528-1144.

Contact Information

Primary practice address
12171 W Parmer Ln Suite 201 Cedar Park TX 78613-7361
Phone: (512) 528-1144
Fax: (512) 528-1143
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X K6970 Texas

Profile Details

NPI number 1811967821
LBN Legal business name Restivo, Vincent Anthony
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 23rd, 2006
Last updated May 6th, 2016 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1811967821 NPPES
Texas MEDICAID 143889702
Texas Other 8S5180

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