| Vitalcare Telemedicine Llc | |
|
15957 Punta Espada Loop Corpus Christi TX 78418-6626 | |
| (361) 214-6367 | |
| (779) 204-4430 |
| Full Name | Vitalcare Telemedicine Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 15957 Punta Espada Loop, Corpus Christi, Texas |
| Authorized Official Name and Position | William Joseph Stith (COLLABORATIVE PHYSICIAN) |
| Authorized Official Contact | 3619043637 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Vitalcare Telemedicine Llc 14493 S Padre Island Dr Ste A-5012 Corpus Christi TX 78418-5931 Ph: (361) 214-6367 | Vitalcare Telemedicine Llc 15957 Punta Espada Loop Corpus Christi TX 78418-6626 Ph: (361) 214-6367 |
| NPI Number | 1053909705 |
|---|---|
| Provider Enumeration Date | 01/07/2021 |
| Last Update Date | 10/04/2022 |
| Medicare PECOS PAC ID | 4284037144 |
|---|---|
| Medicare Enrollment ID | O20210729001945 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053909705 | NPI | - | NPPES |
| 1760678940 | Other | TX | NPI |
| Provider Name | William J Stith |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1760678940 PECOS PAC ID: 5496889404 Enrollment ID: I20100812000795 |
| Provider Name | Angela Stith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174162713 PECOS PAC ID: 9537562491 Enrollment ID: I20210729002175 |
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