Vincent Virgadamo, M.D., P.a.

Primary specialty

SpecialistTaxonomy code 174400000X

Legal business name

VINCENT VIRGADAMO, M.D., P.A.

Practice address

6624 Fannin St
Suite 2160
Houston, TX 77030-2312

Phone

(713) 795-0055

Fax

(713) 795-4384

NPI assigned

Jan 27, 2010

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Vincenzo Virgadamo, M.D.

Title

President

Phone

(713) 795-0055

Specialties & licenses 1

Addresses

Other identifiers 5

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1264550400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1466467200000",
    "number": "1376874628",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6624 FANNIN ST",
            "address_2": "SUITE 2160",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770302312",
            "telephone_number": "713-795-0055",
            "fax_number": "713-795-4384"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6624 FANNIN ST",
            "address_2": "SUITE 2160",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770302312",
            "telephone_number": "713-795-0055",
            "fax_number": "713-795-4384"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VINCENT VIRGADAMO, M.D., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-01-27",
        "last_updated": "2016-06-21",
        "status": "A",
        "authorized_official_last_name": "VIRGADAMO",
        "authorized_official_first_name": "VINCENZO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "713-795-0055",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "4270229",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "281559901",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE LINK",
            "identifier": "2227346",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "0039WD",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIGROUP",
            "identifier": "10023740",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Vinatown Medical Clinic
• Vinatown Pharmacy
• Vince E. Ogadi
• Vincent Kau MD, PA
• Vincent Tran, PHD, PLLC
• Anita D Vincent, LCDC, CADC II, CCS
• Danielle Vincent
• Elizabeth Vincent, LCSW
• John P. Vincent, PH.D.
• Katelyn Vincent

• Specialist in Houston, TX
• Providers in Houston, TX by specialty
• Specialist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.