| Vita Health Initiative, Llc | |
|
258 Green Meadows Rd Wilmer TX 75172-3335 | |
| (504) 434-8476 | |
| Not Available |
| Full Name | Vita Health Initiative, Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 258 Green Meadows Rd, Wilmer, Texas |
| Authorized Official Name and Position | Mazvita Maziveyi (OWNER) |
| Authorized Official Contact | 5044348476 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Vita Health Initiative, Llc 258 Green Meadows Rd Wilmer TX 75172-3335 Ph: (504) 434-8476 | Vita Health Initiative, Llc 258 Green Meadows Rd Wilmer TX 75172-3335 Ph: (504) 434-8476 |
| NPI Number | 1669108437 |
|---|---|
| Provider Enumeration Date | 07/25/2022 |
| Last Update Date | 07/28/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669108437 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| 374U00000X | Home Health Aide | (* (Not Available)) | Secondary |