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Organization
WILCAP HEALTH SERVICES PLLC
Active
Organization
WILCAP HEALTH SERVICES PLLC
Active
Other names
Lifetime Vitality Clinic LLC
Organization subpart
No
Provider details
NPI number
Authorized official
JUAN MIGUEL CAPUPUS NP (OWNER)
(361) 208-6701
Entity
Organization
Contact information
Practice address
125 NORTHSHORE BLVD, PORTLAND, TX 78374-4206
(361) 208-6701
(361) 292-1096
Mailing address
2109 OSO BAY RANCH RD, CORPUS CHRISTI, TX 78418-8920
(361) 208-6701
(361) 292-1096
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1154256469
NPI
TX
Enumeration date
06/17/2026
Last updated
06/21/2026
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