| Vitality Care Llc | |
|
2646 S Loop W Ste 220 Houston TX 77054-2640 | |
| (832) 342-6326 | |
| (832) 575-5494 |
| Full Name | Vitality Care Llc |
|---|---|
| Speciality | Nurse Practitioner - Primary Care |
| Location | 2646 S Loop W Ste 220, Houston, Texas |
| Authorized Official Name and Position | Kimberly Wingard (FAMILY NURSE PRACTITIONER) |
| Authorized Official Contact | 7132132717 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Vitality Care Llc 3139 W Holcombe Blvd # A29 Houston TX 77025-1533 Ph: (713) 213-2717 | Vitality Care Llc 2646 S Loop W Ste 220 Houston TX 77054-2640 Ph: (832) 342-6326 |
| NPI Number | 1093320996 |
|---|---|
| Provider Enumeration Date | 09/09/2020 |
| Last Update Date | 06/27/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093320996 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Secondary |
| 363LP2300X | Nurse Practitioner - Primary Care | (* (Not Available)) | Primary |
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