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Organization
VIVA MEDICAL GROUP, LLC
Active
Organization
VIVA MEDICAL GROUP, LLC
Active
Other names
VIVA Pediatrics, VIVA Pediatric Healthcare
Organization subpart
No
Provider details
NPI number
Authorized official
MR. EFREM L COLMENERO (OWNER)
(469) 341-7772
Entity
Organization
Contact information
Practice address
7718 WOOD HOLLOW DR STE G18, AUSTIN, TX 78731-1601
(512) 518-2310
(512) 518-2311
Mailing address
275 W CAMPBELL RD STE 400, RICHARDSON, TX 75080-3581
(469) 341-7772
(972) 378-2111
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
015235
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
311476101
—
TX
01
—
311476102
CHSCN
TX
Enumeration date
09/17/2012
Last updated
02/11/2026
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