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Organization
VITALITY HEALTH PARTNERS PLLC
Active
Organization
VITALITY HEALTH PARTNERS PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SHANKAR BELLAM (MANAGER)
(979) 571-5749
Entity
Organization
Contact information
Practice address
101 COOPERATIVE WAY STE 405, GEORGETOWN, TX 78626-8208
(979) 571-5749
Mailing address
3515 LONGMIRE DR STE B120, COLLEGE STATION, TX 77845-5489
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
09/01/2025
Last updated
09/01/2025
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