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Vitalcare Telemedicine LLC

Family Medicine in Corpus Christi, TX. Organization (NPI-2).

NPI number1053909705
StatusActive
Last updated in NPPESOct 4, 2022

Details

NPI
1053909705
Entity type
Organization (NPI-2)
Legal business name
Vitalcare Telemedicine LLC
Organization subpart
No
Enumeration date
Jan 7, 2021
Certification date
Oct 4, 2022
Last updated
Oct 4, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207Q00000X Family Medicine––Yes
363LF0000X Nurse Practitioner, Family––
207QA0505X Family Medicine, Adult Medicine––

Practice location

15957 Punta Espada Loop
Corpus Christi, TX 78418-6626

Phone 361-214-6367 · Fax 779-204-4430

Mailing address

14493 S Padre Island Dr Ste A-5012
Corpus Christi, TX 78418-5931

Phone 361-214-6367

Authorized official

William Joseph Stith
Collaborative Physician
3619043637

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