Provider Demographics
NPI:1558550715
Name:VINCENT, EUGENIA (RNC WHNP)
Entity Type:Individual
Prefix:MRS
First Name:EUGENIA
Middle Name:
Last Name:VINCENT
Suffix:
Gender:F
Credentials:RNC WHNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2394 SAINT FRANCIS AVE
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75228-5380
Mailing Address - Country:US
Mailing Address - Phone:214-327-2808
Mailing Address - Fax:
Practice Address - Street 1:920 E HIGHWAY 67 STE 108
Practice Address - Street 2:
Practice Address - City:DUNCANVILLE
Practice Address - State:TX
Practice Address - Zip Code:75137-2713
Practice Address - Country:US
Practice Address - Phone:214-948-7779
Practice Address - Fax:214-948-9977
Is Sole Proprietor?:No
Enumeration Date:2007-10-23
Last Update Date:2021-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX578587163W00000X
TXAP10837363LW0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health
No163W00000XNursing Service ProvidersRegistered Nurse