Venincasa, Michael
Venincasa, Michael is an individual health care provider with primary practice located at 500 La Vida Ct , Irving TX 75062-6565. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Venincasa, Michael can be contacted via phone (972) 449-0540.Contact Information
Primary practice address
500 La Vida Ct
Irving TX 75062-6565
Phone: (972) 449-0540
Fax: (972) 449-0550
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | H3614 | Texas |
Profile Details
| NPI number | 1790728178 |
|---|---|
| LBN Legal business name | Venincasa, Michael |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 14th, 2006 |
| Last updated | Sep 8th, 2023 - about 2 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1790728178 | NPPES |
| Texas | Other | 060026137 | RAILROAD MEDICARE |
| Texas | MEDICAID | 047038701 | RAILROAD MEDICARE |
| Texas | Other | 88K981 | RAILROAD MEDICARE |
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