# VITALO-T CENTER, LLC

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

## Provider details

- **NPI number:** 1639583800
- **Authorized official:** DR. DAVID R HENSLEY M.D. (PRESIDENT/OWNER)
- **Authorized official phone:** (817) 704-4777

## Contact information

- **Practice address:** 300 W ARBROOK BLVD, SUITE E, ARLINGTON, TX 76014-3105
- **Practice address phone:** (817) 701-2550
- **Mailing address:** 300 W ARBROOK BLVD, SUITE E, ARLINGTON, TX 76014-3105
- **Mailing address phone:** (817) 701-2550

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM2500X | Medical Specialty Clinic/Center | K2489 | TX | Yes |

## Other

- **Enumeration date:** 06/16/2014
- **Last updated:** 06/16/2014