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NPI Code Detail

MEDICARE: VICENTE A RESTO MD

MEDICARE: VICENTE A RESTO 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
1207Y00000XOtolaryngology PhysicianM5903TX

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1871679662
Entity Type Code : Individual
Provider Name (Legal Business Name) : VICENTE A RESTO MD
Provider Business Mailing Address
First Line : PO BOX 650859, DEPT. 710
Second Line :
City : DALLAS
State : TX
Zip : 75265-0859
Country : US
Telephone Number : 409-772-2222
Fax Number :
Provider Business Practice Location Address
First Line : 700 UNIVERSITY BLVD
Second Line :
City : GALVESTON
State : TX
Zip : 77550-5552
Country : US
Telephone Number : 281-338-0829
Fax Number : 281-557-7284
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/27/2006
Last Update Date : 02/17/2023

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Directions to “ VICENTE A RESTO MD” Practice Location

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