| Vida Care Medical Center, Pllc | |
|
2601 Forest Ln Garland TX 75042-6508 | |
| (484) 860-0407 | |
| Not Available |
| Full Name | Vida Care Medical Center, Pllc |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 2601 Forest Ln, Garland, Texas |
| Authorized Official Name and Position | Mitsi Liset Gutierrez Ramal (PRACTICE OWNER) |
| Authorized Official Contact | 4848600407 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Vida Care Medical Center, Pllc 6424 Bermuda Dunes Dr Plano TX 75093-8801 Ph: (484) 860-0407 | Vida Care Medical Center, Pllc 2601 Forest Ln Garland TX 75042-6508 Ph: (484) 860-0407 |
| NPI Number | 1376377515 |
|---|---|
| Provider Enumeration Date | 08/29/2024 |
| Last Update Date | 08/29/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376377515 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
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