Vesper Medical Care PLLC
General Practice in Woodway, TX. Organization (NPI-2).
NPI number1164096145
StatusActive
Last updated in NPPESOct 5, 2023
Details
- NPI
- 1164096145
- Entity type
- Organization (NPI-2)
- Legal business name
- Vesper Medical Care PLLC
- Organization subpart
- No
- Enumeration date
- May 14, 2021
- Certification date
- Oct 5, 2023
- Last updated
- Oct 5, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208D00000X | General Practice | – | – | Yes |
| 363LP0808X | Nurse Practitioner, Psych/Mental Health | – | – |
Practice location
8416 Old McGregor RdWoodway, TX 76712-6499
Phone 254-307-3997 · Fax 254-300-9935
Mailing address
8416 Old McGregor RdWoodway, TX 76712-6499
Phone 254-307-3997 · Fax 254-300-9935
Authorized official
Jonathan D Osborne
Owner
2543073997
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