Provider Demographics
NPI:1942507041
Name:JAMES KEVIN VINALL
Entity Type:Organization
Organization Name:JAMES KEVIN VINALL
Other - Org Name:DISCOVERY DIAGNOSTICS OF TEXAS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:KEVIN
Authorized Official - Last Name:VINALL
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:210-378-6331
Mailing Address - Street 1:1795 N FRY RD STE 125
Mailing Address - Street 2:
Mailing Address - City:KATY
Mailing Address - State:TX
Mailing Address - Zip Code:77449-3347
Mailing Address - Country:US
Mailing Address - Phone:210-378-6331
Mailing Address - Fax:
Practice Address - Street 1:1795 N FRY RD STE 125
Practice Address - Street 2:
Practice Address - City:KATY
Practice Address - State:TX
Practice Address - Zip Code:77449-3347
Practice Address - Country:US
Practice Address - Phone:210-378-6331
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-02-25
Last Update Date:2011-02-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral PracticeGroup - Multi-Specialty
No202C00000XAllopathic & Osteopathic PhysiciansIndependent Medical ExaminerGroup - Multi-Specialty