# VIGOR AND VITALITY, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** AzulCare
- **Organization subpart:** No

## Provider details

- **NPI number:** 1053317529
- **Authorized official:** MR. ANEESH SHRIKHANDE (CLINIC ADMINISTRATOR AND CEO)
- **Authorized official phone:** (512) 353-5600

## Contact information

- **Practice address:** 1330 WONDER WORLD DR, STE 104, SAN MARCOS, TX 78666-7567
- **Practice address phone:** (512) 353-5600
- **Practice address fax:** (512) 353-5602
- **Mailing address:** 1330 WONDER WORLD DR, STE 104, SAN MARCOS, TX 78666-7567
- **Mailing address phone:** (512) 353-5600
- **Mailing address fax:** (512) 353-5602

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | TX | Yes |

## Other

- **Enumeration date:** 06/21/2005
- **Last updated:** 08/22/2020
