Vines, Victor L

Vines, Victor L is an sole proprietor health care provider with primary practice located at 700 Londonderry Ln , Denton TX 76205-7878. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, Allopathic & Osteopathic Physicians / Addiction Medicine. Allopathic & Osteopathic Physicians / Addiction Medicine is his primary health care specialty. Vines, Victor L can be contacted via phone (940) 387-3871.

Contact Information

Primary practice address
700 Londonderry Ln Denton TX 76205-7878
Phone: (940) 387-3871
Fax: (940) 243-8001
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X G8483 Texas
Allopathic & Osteopathic Physicians / Addiction Medicine 207QA0401X G8483 Texas

Profile Details

NPI number 1568468395
LBN Legal business name Vines, Victor L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 27th, 2005
Last updated Sep 17th, 2019 - about 7 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 1568468395 NPPES
Texas MEDICAID 115235704
Texas Other 8BD727
Texas MEDICAID 115235705
Texas Other 8437B0

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