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VITAL HOUSECALL GROUP INC. NPI 1790079887


NPI Information

NPI: 1790079887
Provider Name: VITAL HOUSECALL GROUP INC.
Classification: Physician Assistant - 363A00000X
Entity Type: Organization
Address:
2617 BOLTON BOONE DR
STE. B
DESOTO, TX
ZIP 75115
Phone: (972) 709-1781
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VITAL HOUSECALL GROUP INC. is a physician assistant in Desoto, TX. The provider is a physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. VITAL HOUSECALL GROUP INC. NPI is 1790079887. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

2617 BOLTON BOONE DR
STE. B
DESOTO, TX
ZIP 75115-074
Phone: (972) 709-1781
Fax: (972) 709-7738

The provider's authorized official is Nicholas Lamarre .
The authorized official title is Owner and has the following contact phone number (972) 841-3940.

The enumeration date for this NPI number is 6/6/2011 and was last updated on 6/6/2011.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1208D00000XGeneral PracticeG6955TEXASNo
2208D00000XGeneral PracticeG6995TEXASNo
3208D00000XGeneral PracticeD6396TEXASNo
4208D00000XGeneral PracticeF0773TEXASNo
5363A00000XPhysician AssistantPA02941TEXASNo
6363A00000XPhysician AssistantPA05315TEXASNo
7363A00000XPhysician AssistantPA04634TEXASNo
8363L00000XNurse Practitioner763184TEXASNo
9363L00000XNurse Practitioner572451TEXASNo
10363LA2100XNurse PractitionerAcute Care600761TEXASNo
11363LF0000XNurse PractitionerFamily633922TEXASNo
12363LF0000XNurse PractitionerFamily508116TEXASNo
13363LF0000XNurse PractitionerFamily649018TEXASNo
14363A00000XPhysician AssistantPA04648TEXASYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1D75117MEDICARE UPINPENNSYLVANIA
2C21376MEDICARE UPINTEXAS
3Q65135MEDICARE UPINTEXAS
4C18105MEDICARE UPINTEXAS
5S80084MEDICARE UPINTEXAS

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: 4/28/2024

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.