Provider Type Icon

VIRTUE MEDICAL PA PLLC NPI 1710653548


NPI Information

NPI: 1710653548
Provider Name: VIRTUE MEDICAL PA, PLLC

Other Name: VIRTUE MEDICAL PA, PLLC

Classification: General Practice - 208D00000X
Entity Type: Organization
Address:
401 CENTER COURT DR
BRIDGEPORT, TX
ZIP 76426
Phone: (940) 255-6552
Get Directions

VIRTUE MEDICAL PA, PLLC is a general practice in Bridgeport, TX. The provider is a physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee VIRTUE MEDICAL PA, PLLC NPI is 1710653548. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Other Name Is Virtue Medical Pa, Pllc.

The provider's business location address is:

401 CENTER COURT DR
BRIDGEPORT, TX
ZIP 76426-250
Phone: (940) 255-6552
Fax: (940) 202-7058

The provider's authorized official is Dani Davis .
The authorized official title is Coo and has the following contact phone number (806) 382-5064.

The enumeration date for this NPI number is 8/20/2021 and was last updated on 2/17/2024.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207R00000XInternal MedicineNo
2207Q00000XFamily MedicineNo
3261QR1300XClinic/CenterRural HealthNo
4363AM0700XPhysician AssistantMedicalNo
5208D00000XGeneral PracticeYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.