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VITAL CLINIC AND SPA PLLC NPI 1447899117


NPI Information

NPI: 1447899117
Provider Name: VITAL CLINIC AND SPA, PLLC
Classification: Family Medicine - 207Q00000X
Entity Type: Organization

CLIA Number: 45D2183674

Address:
11004 GRANT RD
CYPRESS, TX
ZIP 77429
Phone: (832) 533-8404
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VITAL CLINIC AND SPA, PLLC is a family medicine in Cypress, TX. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. VITAL CLINIC AND SPA, PLLC NPI is 1447899117. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

11004 GRANT RD
CYPRESS, TX
ZIP 77429-900
Phone: (832) 533-8404

The provider's authorized official is Harmanpreet Kaur Buttar .
The authorized official title is Partner/physician and has the following contact phone number (832) 613-5707.

The CLIA number assigned to this NPI record is 45D2183674 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/30/2019 and was last updated on 12/30/2019.


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
1207Q00000XFamily MedicineYes
2207R00000XInternal MedicineNo
3207RN0300XInternal MedicineNephrologyNo

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

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