| Vitae Health Medical Texas Pllc | |
|
2003 N Edwards Ave Mount Pleasant TX 75455-2010 | |
| (903) 572-5511 | |
| Not Available |
| Full Name | Vitae Health Medical Texas Pllc |
|---|---|
| Speciality | Internal Medicine |
| Location | 2003 N Edwards Ave, Mount Pleasant, Texas |
| Authorized Official Name and Position | Amish M Patel (PRESIDENT) |
| Authorized Official Contact | 2247778045 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Vitae Health Medical Texas Pllc 415 W Golf Rd Ste 26 Arlington Heights IL 60005-3923 Ph: (224) 777-8045 | Vitae Health Medical Texas Pllc 2003 N Edwards Ave Mount Pleasant TX 75455-2010 Ph: (903) 572-5511 |
| NPI Number | 1790351567 |
|---|---|
| Provider Enumeration Date | 06/02/2021 |
| Last Update Date | 06/02/2021 |
| Medicare PECOS PAC ID | 5597142349 |
|---|---|
| Medicare Enrollment ID | O20220516002976 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790351567 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Zahra Shariff |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1538260492 PECOS PAC ID: 8527084128 Enrollment ID: I20170803001790 |
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