| Vitrics Physician Group, Pllc | |
|
33300 Egypt Ln Ste I300 Magnolia TX 77354-3337 | |
| (832) 381-8221 | |
| (833) 390-1324 |
| Full Name | Vitrics Physician Group, Pllc |
|---|---|
| Speciality | Family Medicine |
| Location | 33300 Egypt Ln Ste I300, Magnolia, Texas |
| Authorized Official Name and Position | Gary Spangler (PRESIDENT) |
| Authorized Official Contact | 8323854835 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Vitrics Physician Group, Pllc 33300 Egypt Ln Ste I300 Magnolia TX 77354-3337 Ph: (832) 381-8221 | Vitrics Physician Group, Pllc 33300 Egypt Ln Ste I300 Magnolia TX 77354-3337 Ph: (832) 381-8221 |
| NPI Number | 1609441930 |
|---|---|
| Provider Enumeration Date | 05/20/2021 |
| Last Update Date | 05/31/2022 |
| Medicare PECOS PAC ID | 8527466788 |
|---|---|
| Medicare Enrollment ID | O20211004000110 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609441930 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Gary Wayne Spangler |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1952395048 PECOS PAC ID: 3577466937 Enrollment ID: I20040202000089 |
| Provider Name | Angel Rivera-soto |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1255657375 PECOS PAC ID: 1850511940 Enrollment ID: I20141014000528 |
| Provider Name | Christina Marie Bermea |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518563063 PECOS PAC ID: 2567851926 Enrollment ID: I20211105001761 |
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