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Organization
VITALIS SPECIALTY GROUP LLC
Active
Organization
VITALIS SPECIALTY GROUP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANDREW THOMAS VIDAL FNP (OWNER)
(210) 844-7550
Entity
Organization
Contact information
Practice address
21411 US HIGHWAY 281 S, SAN ANTONIO, TX 78264-4824
(210) 844-7550
Mailing address
21411 US HIGHWAY 281 S, SAN ANTONIO, TX 78264-4824
(210) 844-7550
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
—
—
363LF0000X
Family Nurse Practitioner
—
—
Other
Enumeration date
05/21/2024
Last updated
05/21/2024
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