VYTALUS MEDICAL GROUP PLLC NPI 1053631275

NPI Information

  • NPI: 1053631275
  • Provider Name: VYTALUS MEDICAL GROUP, PLLC
  • Classification: Family Medicine - 207Q00000X
  • Entity Type: Organization
  • Former Legal Business Name: DIAGNOSTIC AFFILIATES OF NORTHEAST HOUSTON, PLLC
  • CLIA Number: 45D2302792
  • Address: 23330 HIGHWAY 59 N STE 300
    KINGWOOD, TX
    ZIP 77339
  • Phone: (281) 359-3223

Map and Directions

Get Directions

NPI Details

VYTALUS MEDICAL GROUP, PLLC is a family medicine in Kingwood, TX. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. VYTALUS MEDICAL GROUP, PLLC NPI is 1053631275. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Former Legal Business Name Is Diagnostic Affiliates Of Northeast Houston, Pllc.

The provider's business location address is:

23330 HIGHWAY 59 N STE 300
KINGWOOD, TX
ZIP 77339-471
Phone: (281) 359-3223
Fax: (281) 359-2089

The provider's authorized official is Rachel E Tubbs .
The authorized official title is Administrative Assistant and has the following contact phone number (281) 359-3223.

The CLIA number assigned to this NPI record is 45D2302792 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/10/2010 and was last updated on 12/9/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207Q00000XFamily MedicineYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

Previous NPI
Next NPI