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VITAL PHYSICIAN SERVICES PLLC NPI 1801468210


NPI Information

NPI: 1801468210
Provider Name: VITAL PHYSICIAN SERVICES PLLC

Doing Business As: EVOLUTION HEALTH SERVICES

Classification: Clinic/Center - 261Q00000X
Entity Type: Organization

CLIA Number: 45D2228778

Address:
3720 GATTIS SCHOOL RD STE 800
ROUND ROCK, TX
ZIP 78664
Phone: (808) 646-1691
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VITAL PHYSICIAN SERVICES PLLC is a clinic center in Round Rock, TX. The provider is a facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). VITAL PHYSICIAN SERVICES PLLC NPI is 1801468210. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Evolution Health Services.

The provider's business location address is:

3720 GATTIS SCHOOL RD STE 800
ROUND ROCK, TX
ZIP 78664-660
Phone: (808) 646-1691

The provider's authorized official is Jeffrey Daniel Hannah .
The authorized official title is Owner and has the following contact phone number (737) 222-5553.

The CLIA number assigned to this NPI record is 45D2228778 - independent with a certificate type of Certificate of Accreditation.

The enumeration date for this NPI number is 7/14/2021 and was last updated on 12/22/2021.


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
1208D00000XGeneral PracticeNo
2261Q00000XClinic/CenterYes
3363A00000XPhysician AssistantNo

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: 5/5/2024

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.