Organization · NPI-2
A&S Vitality Healthcare Services
Nurse Practitioner, Family · Houston, TX
NPI number1740058247
StatusActive
Last updated in NPPESJul 7, 2025
Details
- NPI
- 1740058247
- Entity type
- Organization (NPI-2)
- Legal business name
- A&S Vitality Healthcare Services
- Organization subpart
- No
- Enumeration date
- Dec 13, 2023
- Certification date
- Jul 7, 2025
- Last updated
- Jul 7, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | – | – | Yes |
| 363LP2300X | Nurse Practitioner, Primary Care | – | – |
Other names
- A&S Vitality Covid Services (Other Name)
Practice location
8200 Wednesbury Ln Ste 270Houston, TX 77074-2900
Phone 832-974-0516 · Fax 609-309-7927
Mailing address
5806 Baldwin Elm StRichmond, TX 77407-7092
Phone 469-667-5895
Authorized official
Sharon Ngwasha Nchonko
Owner 1
4696675895
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