Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207RC0000X | Internist - Cardiovascular Disease | H8881 | TX |
Y | 207RI0011X | Interventional Cardiology | H8881 | TX |
NPI | 1053369421 |
---|---|
Provider Name | Dr. Steven Joseph Vignale |
First Address | Dallas, TX 75248-1908 |
Second Address | Arlington, TX 76014-3176 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 05/05/2006 |
Last Update Date | 06/12/2018 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
117584602 | (05) | TX |
E64476 | (02) | TX |