Vitality Family Medical Group Pllc | |
100 W. Pecan Blvd Mcallen TX 78501 | |
(806) 777-5641 | |
Not Available |
Full Name | Vitality Family Medical Group Pllc |
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Speciality | Family Medicine |
Location | 100 W. Pecan Blvd, Mcallen, Texas |
Authorized Official Name and Position | Sarah A Adkins (PARTNER/OWNER) |
Authorized Official Contact | 8067775641 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Vitality Family Medical Group Pllc 100 W. Pecan Blvd Mcallen TX 78501 Ph: (806) 777-5641 | Vitality Family Medical Group Pllc 100 W. Pecan Blvd Mcallen TX 78501 Ph: (806) 777-5641 |
NPI Number | 1720845928 |
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Provider Enumeration Date | 03/04/2024 |
Last Update Date | 03/04/2024 |
Medicare PECOS PAC ID | 7618316142 |
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Medicare Enrollment ID | O20240417002047 |
Identifier | Type | State | Issuer |
---|---|---|---|
1720845928 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Secondary |
Provider Name | Sarah Adkins |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1265039044 PECOS PAC ID: 3274936109 Enrollment ID: I20210729000661 |
Provider Name | Criselda Molina |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1073109617 PECOS PAC ID: 9931504602 Enrollment ID: I20210818001050 |
Provider Name | Omar Longoria |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1952061988 PECOS PAC ID: 2062899958 Enrollment ID: I20220516000400 |
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