| Vitalcare Medical | |
|
1816 Broadway St Ste 110 Pearland TX 77581-5664 | |
| (281) 482-9994 | |
| (281) 482-2231 |
| Full Name | Vitalcare Medical |
|---|---|
| Speciality | Internal Medicine |
| Location | 1816 Broadway St, Pearland, Texas |
| Authorized Official Name and Position | Thang Hoang (PRESIDENT) |
| Authorized Official Contact | 2814829994 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Vitalcare Medical 1816 Broadway St Ste 110 Pearland TX 77581-5664 Ph: (281) 482-9994 | Vitalcare Medical 1816 Broadway St Ste 110 Pearland TX 77581-5664 Ph: (281) 482-9994 |
| NPI Number | 1073675468 |
|---|---|
| Provider Enumeration Date | 12/14/2006 |
| Last Update Date | 01/20/2022 |
| Medicare PECOS PAC ID | 5799763751 |
|---|---|
| Medicare Enrollment ID | O20040708000213 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073675468 | NPI | - | NPPES |
| 167045701 | Medicaid | TX | |
| 167045702 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | K7167 (Texas) | Primary |
| 208000000X | Pediatrics | K7167 (Texas) | Secondary |
| 208D00000X | General Practice | K7167 (Texas) | Secondary |
| Provider Name | Thang Dinh Hoang |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1932101268 PECOS PAC ID: 8325026305 Enrollment ID: I20040708000273 |
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