Jared Blake Vincent
Jared Blake Vincent is a Private Vehicle in Round Rock, Texas. Practices as a sole proprietor. Registered with an NPI since 2019.
- In the registry since
- 2019
- Specialties on file
- 2
Practice location Address checks out
16845 Tortoise StRound Rock, TX 78664-8604
Phone: (512) 598-1411
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Durable Medical Equipment & Medical Supplies (primary) | Taxonomy 332B00000X |
|---|---|
| Private Vehicle | Taxonomy 347C00000X |
Record details
| NPI number | 1518515626 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | September 1, 2019 |
| Last updated in NPPES | December 10, 2019 |
| Certification date | December 10, 2019 |
| Mailing address | Po Box 2731, Pflugerville, TX 78691-2731 |
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