Vita Health Initiative, Llc | |
258 Green Meadows Rd Wilmer TX 75172-3335 | |
(504) 434-8476 | |
Not Available |
Full Name | Vita Health Initiative, Llc |
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Speciality | Family Medicine |
Location | 258 Green Meadows Rd, Wilmer, Texas |
Authorized Official Name and Position | Mazvita Maziveyi (OWNER) |
Authorized Official Contact | 5044348476 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Vita Health Initiative, Llc 258 Green Meadows Rd Wilmer TX 75172-3335 Ph: (504) 434-8476 | Vita Health Initiative, Llc 258 Green Meadows Rd Wilmer TX 75172-3335 Ph: (504) 434-8476 |
NPI Number | 1669108437 |
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Provider Enumeration Date | 07/25/2022 |
Last Update Date | 07/28/2022 |
Identifier | Type | State | Issuer |
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1669108437 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207Q00000X | Family Medicine | (* (Not Available)) | Primary |
374U00000X | Home Health Aide | (* (Not Available)) | Secondary |