Provider Demographics
NPI:1750921292
Name:FREDERICK L VINSON MD
Entity type:Organization
Organization Name:FREDERICK L VINSON MD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OBGYN
Authorized Official - Prefix:DR
Authorized Official - First Name:FREDERICK
Authorized Official - Middle Name:L
Authorized Official - Last Name:VINSON
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:830-393-6800
Mailing Address - Street 1:PO BOX 658
Mailing Address - Street 2:
Mailing Address - City:FLORESVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:78114-0658
Mailing Address - Country:US
Mailing Address - Phone:830-393-6800
Mailing Address - Fax:
Practice Address - Street 1:8508 US HIGHWAY 181 N STE B
Practice Address - Street 2:
Practice Address - City:FLORESVILLE
Practice Address - State:TX
Practice Address - Zip Code:78114-6482
Practice Address - Country:US
Practice Address - Phone:830-393-6800
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-01-13
Last Update Date:2020-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Single Specialty