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Organization

VIPCARE TEXAS LLC

Active
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Organization

VIPCARE TEXAS LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. SRIRAM SUNDARAMOORTHY (CHIEF COMPLIANCE OFFICER)
(352) 622-7000
Entity
Organization

Contact information

Practice address
3602 MATLOCK RD STE 206, ARLINGTON, TX 76015-3600
(682) 282-4460
(682) 282-4462
Mailing address
601 S HARBOUR ISLAND BLVD STE 200, TAMPA, FL 33602-5925
(813) 444-5838
(833) 495-7206

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
207R00000X
Internal Medicine Physician
—
—
208D00000X
General Practice Physician
—
—
261QH0100X
Health Service Clinic/Center
—
—
261QP2300X
Primary Care Clinic/Center
—
—

Other

Enumeration date
08/22/2022
Last updated
02/06/2023
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