Organization Active NPI

Chris M. Vicente, M.D., P.L.L.C.

  • Neurology Physician
  • Rowlett, TX
National Provider Identifier
1568623619
Registry record updated Jun 21, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
M3414 Issued in TX
Legal business name
CHRIS M. VICENTE, M.D., P.L.L.C.
Practice address
5702 Rowlett Rd Ste 220
Rowlett, TX 75089-7925
Phone
(214) 703-1900
Fax
(214) 703-1901
NPI assigned
Jun 21, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 21, 2008

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

Authorized official

Name
Chris M Vicente, M.D.
Title
President
Phone
(214) 707-3194

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084N0400X M3414 TX Primary

Addresses

Primary practice location

5702 Rowlett Rd Ste 220
Rowlett, TX 75089-7925

Mailing address

5702 Rowlett Rd Ste 220
Rowlett, TX 75089-7925
Phone (214) 703-1900

National Provider Directory

National Provider Directory

Locations

5702 Rowlett Rd
Ste 220
Rowlett, TX 75089
Phone (214) 703-1900

NPI Registry JSON

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

{
    "created_epoch": "1214006400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214006400000",
    "number": "1568623619",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5702 ROWLETT RD STE 220",
            "city": "ROWLETT",
            "state": "TX",
            "postal_code": "750897925",
            "telephone_number": "214-703-1900",
            "fax_number": "214-703-1901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5702 ROWLETT RD STE 220",
            "city": "ROWLETT",
            "state": "TX",
            "postal_code": "750897925",
            "telephone_number": "214-703-1900",
            "fax_number": "214-703-1901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHRIS M. VICENTE, M.D., P.L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-21",
        "last_updated": "2008-06-21",
        "status": "A",
        "authorized_official_last_name": "VICENTE",
        "authorized_official_first_name": "CHRIS",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "214-707-3194",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "TX",
            "license": "M3414",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rowlett, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2008; 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.