person
Dr. C. Vince Wiseman, MD
Diagnostic Radiology Physician in Austin, Texas
NPI 1235133760

C. Vince Wiseman is a Diagnostic Radiology Physician based in Austin, TX and is specialized in Diagnostic Radiology. C. Vince Wiseman practices in Austin, TX and has the professional credentials of MD. The NPI Number for C. Vince Wiseman is 1235133760 and holds a License No. H1737 (Texas).

The current practice location address for C. Vince Wiseman is 12554 Riata Vista Cir, Austin, TX and can be reached out via phone at 512-519-3462 and via fax at 512-795-5122.

Location: 12554 Riata Vista Cir, Austin, TX, 78727-6431
person
Provider Profile Details
NPI Number
1235133760
Provider Name
C. Vince Wiseman
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
12554 Riata Vista Cir, Austin, TX, 78727-6431
Phone Number
512-519-3462
Fax Number
512-795-5122
Provider Enumeration Date
06/13/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
139262313 05 TX
300034057 01 RRMCARE
139262312 01 TX CSHCN2
139262306 05 TX
300127205 01 RRMCARE2
139262305 01 TX CSHCN1
institution
Provider Business Practice Location Address Details
Address
12554 Riata Vista Cir
City
State
Zip
78727-6431
Phone Number
512-519-3462
Fax Number
512-795-5122
person
Provider Business Mailing Address Details
Address
12554 Riata Vista Cir
City
State
Zip
78727-6431
Phone Number
512-519-3462
Fax Number
512-795-5122
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Diagnostic Radiology
Taxonomy
License No.
H1737 (Texas)
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
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