Provider Demographics
NPI:1831480888
Name:ARCOS, VICENTE KARLOS (MD)
Entity Type:Individual
Prefix:
First Name:VICENTE
Middle Name:KARLOS
Last Name:ARCOS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:5300 N INDEPENDENCE AVE STE 280
Mailing Address - Street 2:
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73112-5555
Mailing Address - Country:US
Mailing Address - Phone:405-948-0640
Mailing Address - Fax:405-948-1753
Practice Address - Street 1:3433 NW 56TH ST STE 900
Practice Address - Street 2:
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73112-4452
Practice Address - Country:US
Practice Address - Phone:405-948-0640
Practice Address - Fax:405-948-1753
Is Sole Proprietor?:No
Enumeration Date:2011-04-26
Last Update Date:2022-10-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK28538208600000X, 208C00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208C00000XAllopathic & Osteopathic PhysiciansColon & Rectal Surgery
No208600000XAllopathic & Osteopathic PhysiciansSurgery