Provider Demographics
NPI:1659662054
Name:SAINT VINCENTS CLINIC
Entity Type:Organization
Organization Name:SAINT VINCENTS CLINIC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHD
Authorized Official - Prefix:
Authorized Official - First Name:KATHRYN
Authorized Official - Middle Name:
Authorized Official - Last Name:FIANDT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:4409-765-2219
Mailing Address - Street 1:2817 POST OFFICE ST
Mailing Address - Street 2:
Mailing Address - City:GALVESTON
Mailing Address - State:TX
Mailing Address - Zip Code:77550-1728
Mailing Address - Country:US
Mailing Address - Phone:409-765-2219
Mailing Address - Fax:409-770-0394
Practice Address - Street 1:2817 POST OFFICE ST
Practice Address - Street 2:
Practice Address - City:GALVESTON
Practice Address - State:TX
Practice Address - Zip Code:77550-1728
Practice Address - Country:US
Practice Address - Phone:409-765-2219
Practice Address - Fax:409-770-0394
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-04-20
Last Update Date:2011-06-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGroup - Multi-Specialty