Provider Demographics
NPI:1942308051
Name:DIPAOLO, VINCENT THOMAS (DPM)
Entity Type:Individual
Prefix:DR
First Name:VINCENT
Middle Name:THOMAS
Last Name:DIPAOLO
Suffix:
Gender:M
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:812 W 8TH ST STE 3B
Mailing Address - Street 2:
Mailing Address - City:PLAINVIEW
Mailing Address - State:TX
Mailing Address - Zip Code:79072-7931
Mailing Address - Country:US
Mailing Address - Phone:806-293-2525
Mailing Address - Fax:806-293-7818
Practice Address - Street 1:812 W 8TH ST STE 3B
Practice Address - Street 2:
Practice Address - City:PLAINVIEW
Practice Address - State:TX
Practice Address - Zip Code:79072-7931
Practice Address - Country:US
Practice Address - Phone:806-293-2525
Practice Address - Fax:806-293-7818
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-20
Last Update Date:2013-10-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX0683213E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXT13018Medicare UPIN
TXKR14Medicare ID - Type Unspecified