# VITAL CARE CLINIC, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1477194363
- **Authorized official:** RICK LYNN ENLOW (PARTNER)
- **Authorized official phone:** (817) 520-5260

## Contact information

- **Practice address:** 6805 NE LOOP 820 STE 408, NORTH RICHLAND HILLS, TX 76180
- **Practice address phone:** (817) 520-5260
- **Practice address fax:** (817) 520-5279
- **Mailing address:** 6805 NE LOOP 820 STE 408, NORTH RICHLAND HILLS, TX 76180-6687
- **Mailing address phone:** (817) 520-5260
- **Mailing address fax:** (817) 520-5279

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 111NR0400X | Rehabilitation Chiropractor | — | NULL | — |
| 111NR0400X | Rehabilitation Chiropractor | — | — | — |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |
| 225100000X | Physical Therapist | — | NULL | — |
| 225100000X | Physical Therapist | — | — | — |

## Other

- **Enumeration date:** 10/02/2019
- **Last updated:** 03/20/2020