| Pm Vitas Llc | |
|
1018 E Irving Blvd Irving TX 75060-4351 | |
| (469) 471-1539 | |
| (469) 654-4091 |
| Full Name | Pm Vitas Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 1018 E Irving Blvd, Irving, Texas |
| Authorized Official Name and Position | William Hernandez Leyva (PROVIDER) |
| Authorized Official Contact | 7866039409 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Pm Vitas Llc 2639 Walnut Hill Ln Ste 225 Dallas TX 75229-5699 Ph: () - | Pm Vitas Llc 1018 E Irving Blvd Irving TX 75060-4351 Ph: (469) 471-1539 |
| NPI Number | 1760131601 |
|---|---|
| Provider Enumeration Date | 03/19/2022 |
| Last Update Date | 07/24/2025 |
| Medicare PECOS PAC ID | 8921495490 |
|---|---|
| Medicare Enrollment ID | O20220502001195 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760131601 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | William Hernandez Leyva |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033416284 PECOS PAC ID: 9830586304 Enrollment ID: I20220502001245 |
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