Provider Demographics
NPI:1154711208
Name:VINOY, TIJI MARY (NP)
Entity type:Individual
Prefix:
First Name:TIJI
Middle Name:MARY
Last Name:VINOY
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3531 TOWN CENTER BLVD S
Mailing Address - Street 2:SUITE 101
Mailing Address - City:SUGAR LAND
Mailing Address - State:TX
Mailing Address - Zip Code:77479-2590
Mailing Address - Country:US
Mailing Address - Phone:832-561-4761
Mailing Address - Fax:
Practice Address - Street 1:3531 TOWN CENTER BLVD S
Practice Address - Street 2:SUITE 101
Practice Address - City:SUGAR LAND
Practice Address - State:TX
Practice Address - Zip Code:77479-2590
Practice Address - Country:US
Practice Address - Phone:281-491-3225
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-01-28
Last Update Date:2015-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAP126810363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX715073OtherLICENSE