Provider Demographics
NPI:1811408248
Name:METHOT, VINCENT (DC)
Entity Type:Individual
Prefix:DR
First Name:VINCENT
Middle Name:
Last Name:METHOT
Suffix:
Gender:M
Credentials:DC
Other - Prefix:DR
Other - First Name:VINCE
Other - Middle Name:
Other - Last Name:METHOT
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:DC
Mailing Address - Street 1:111 E OLD SETTLERS BLVD
Mailing Address - Street 2:
Mailing Address - City:ROUND ROCK
Mailing Address - State:TX
Mailing Address - Zip Code:78664-2211
Mailing Address - Country:US
Mailing Address - Phone:512-238-7625
Mailing Address - Fax:512-238-6064
Practice Address - Street 1:111 E OLD SETTLERS BLVD
Practice Address - Street 2:
Practice Address - City:ROUND ROCK
Practice Address - State:TX
Practice Address - Zip Code:78664-2211
Practice Address - Country:US
Practice Address - Phone:512-238-7625
Practice Address - Fax:512-238-6064
Is Sole Proprietor?:Yes
Enumeration Date:2017-10-12
Last Update Date:2023-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX13461111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor