Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 111NR0400X | Rehabilitation Chiropractor | 7080 | TX |
N | 111NS0005X | Chiropractic Sports Physician | 7080 | TX |
NPI | 1336226539 |
---|---|
Provider Name | Dr. Duane F Vincent |
First Address | Red Oak, TX 75154 |
Second Address | Waxahachie, TX 75165-1879 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 01/11/2006 |
Last Update Date | 08/07/2007 |