Healthcare Provider Details

I. General information

NPI: 1386508018
Provider Name (Legal Business Name): VINCENT ROWLEY
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/16/2025
Last Update Date: 12/16/2025
Certification Date: 12/16/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

608 E HICKORY ST STE 128
DENTON TX
76205-4311
US

IV. Provider business mailing address

608 E HICKORY ST STE 128
DENTON TX
76205-4311
US

V. Phone/Fax

Practice location:
  • Phone: 940-222-8556
  • Fax: 855-512-7311
Mailing address:
  • Phone: 940-222-8556
  • Fax: 855-512-7311

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License NumberRBT-25-497310
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: