NPI Code Detail JSON Logo

1760442750 NPI number — CHRIS MICHAEL VICENTE M.D.

NPI Number: 1760442750
Health Care Provider/Practitioner: CHRIS MICHAEL VICENTE M.D.

Information about “1760442750” NPI (CHRIS MICHAEL VICENTE M.D.) exists in 1760442750 in HTML format HTML  |  1760442750 in plain Text format TXT  |  1760442750 in PDF (Portable Document Format) PDF  |  1760442750 in an XML format XML  formats.

NPI Number : 1760442750 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1760442750",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "VICENTE",
    "FirstName": "CHRIS",
    "MiddleName": "MICHAEL",
    "NamePrefix": "DR.",
    "NameSuffix": null,
    "Credential": "M.D.",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "3523 MCKINNEY AVE",
    "SecondLineMailingAddress": "STE 735",
    "MailingAddressCityName": "DALLAS",
    "MailingAddressStateName": "TX",
    "MailingAddressPostalCode": "75204-1401",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "214-703-1900",
    "MailingAddressFaxNumber": "214-703-1901",
    "FirstLinePracticeLocationAddress": "1207 ARISTA DR",
    "SecondLinePracticeLocationAddress": "STE 103",
    "PracticeLocationAddressCityName": "ROCKWALL",
    "PracticeLocationAddressStateName": "TX",
    "PracticeLocationAddressPostalCode": "75032-6657",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "214-703-1900",
    "PracticeLocationAddressFaxNumber": "214-703-1901",
    "EnumerationDate": "03/24/2006",
    "LastUpdateDate": "02/13/2012",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "M",
    "Gender": "Male",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "2084N0400X",
          "TaxonomyName": "Neurology Physician",
          "LicenseNumber": "ME82475",
          "LicenseNumberStateCode": "FL",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "2084N0400X",
          "TaxonomyName": "Neurology Physician",
          "LicenseNumber": "M3414",
          "LicenseNumberStateCode": "TX",
          "PrimaryTaxonomySwitch": "Y"
        },
        {
          "TaxonomyCode": "2084S0012X",
          "TaxonomyName": "Sleep Medicine (Psychiatry & Neurology) Physician",
          "LicenseNumber": "M3414",
          "LicenseNumberStateCode": "TX",
          "PrimaryTaxonomySwitch": "N"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

Copyright © 2007-2026 Data Labs Health. All rights reserved.