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Organization
VIVA HEALTH CLINIC, LLC
Active
Organization
VIVA HEALTH CLINIC, LLC
Active
Other names
VIVA HEALTH CLINIC, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
ERNESTO MARRERO APRN (OWNER)
(512) 243-5872
Entity
Organization
Contact information
Practice address
2631 GATTIS SCHOOL RD STE 150, ROUND ROCK, TX 78664-2825
(512) 243-5872
(512) 243-7130
Mailing address
3130 JAZZ ST, ROUND ROCK, TX 78664-7219
(512) 903-6741
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
28496155
—
TX
Enumeration date
01/04/2022
Last updated
09/20/2023
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