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NPI Code Detail

MEDICARE: DR. SHELTON VINEY MD

MEDICARE: DR. SHELTON VINEY MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1208600000XSurgery PhysicianE8996TX
22086S0127XTrauma Surgery PhysicianE8996TX
32086S0129XVascular Surgery PhysicianE8996TX

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
281871JOTHERTXMEDICARE PROVIDER NUMBER
6770001784OTHERMEDICARE RAILROAD

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
384341GOTHERTXBLUE CROSS
4MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
5126183100OTHERFIRSTCARE

General Provider Information

NPI Number : 1891724498
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. SHELTON VINEY MD
Provider Business Mailing Address
First Line : 2405 W MISSOURI AVE
Second Line :
City : MIDLAND
State : TX
Zip : 79701-6800
Country : US
Telephone Number : 432-697-1061
Fax Number : 432-697-7089
Provider Business Practice Location Address
First Line : 2405 W MISSOURI AVE
Second Line :
City : MIDLAND
State : TX
Zip : 79701-6800
Country : US
Telephone Number : 432-697-1061
Fax Number : 432-697-7089
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/03/2006
Last Update Date : 06/04/2026

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1942414982 — DR. DANIEL R COPELAND M.D.
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Directions to “ DR. SHELTON VINEY MD” Practice Location

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