Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207V00000X | Obstetrician & Gynecologist | 3376 | TX |
N | 207VG0400X | Gynecologist | 12591 | NV |
N | 207VM0101X | Gynecologist - Maternal & Fetal Medicine | 12591 | NV |
Y | 207VM0101X | Gynecologist - Maternal & Fetal Medicine | 3376 | TX |
NPI | 1295868883 |
---|---|
Provider Name | Mr. John Francis Visintine III |
First Address | Corpus Christi, TX 78412 |
Second Address | Corpus Christi, TX 78412 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 13/03/2007 |
Last Update Date | 24/08/2015 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1295868883 | (05) | NV |
205535201 | (05) | TX |
H37232 | (02) |