VISTA PEM PROVIDERS LLC NPI 1881912335

NPI Information

NPI: 1881912335
Provider Name: VISTA PEM PROVIDERS, LLC

Doing Business As: SANDRA O'NEAL INSTITUTE

Classification: Clinic/Center - 261QR0200X
Entity Type: Organization

Specialization: Radiology

Address:
5072 W PLANO PKWY
SUITE 190
PLANO, TX
ZIP 75093
Phone: (469) 362-6909
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VISTA PEM PROVIDERS, LLC is a radiology clinic center in Plano, TX. VISTA PEM PROVIDERS, LLC NPI is 1881912335. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Sandra O'neal Institute.

The provider's business location address is:

5072 W PLANO PKWY
SUITE 190
PLANO, TX
ZIP 75093-476
Phone: (469) 362-6909

The provider's authorized official is Laura Kassa .
The authorized official title is Sr Vice President and has the following contact phone number (904) 515-0362.

The enumeration date for this NPI number is 5/7/2010 and was last updated on 4/6/2022.

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
1	2085R0202X	Radiology	Diagnostic Radiology			No
2	261QR0200X	Clinic/Center	Radiology			Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	282161301	MEDICAID	TEXAS
2	FTN041	OTHER		MEDICARE PTAN

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

NPI Synchronization or Removal

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