# VITAE CLINIC INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1053626168
- **Authorized official:** DR. JEREMY ANDREW KALAMARIDES DO (PHYSICIAN/MEDICAL DIRECTOR)
- **Authorized official phone:** (512) 458-6060

## Contact information

- **Practice address:** 1600 W 38TH ST, SUITE 115, AUSTIN, TX 78731-6400
- **Practice address phone:** (512) 458-6060
- **Practice address fax:** (512) 458-6070
- **Mailing address:** PO BOX 301990, 3507 N. LAMAR, AUSTIN, TX 78703-0034
- **Mailing address phone:** (512) 458-6060
- **Mailing address fax:** (512) 458-6070

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | — | NULL | Yes |
| 207V00000X | Obstetrics & Gynecology Physician | — | — | Yes |

## Other

- **Enumeration date:** 08/12/2010
- **Last updated:** 01/05/2012