# VIRTUE MEDICAL PA, PLLC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** VIRTUE MEDICAL GROUP, LLC
- **Other names:** Virtue Medical PA, PLLC
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1710653548
- **Legal business name:** VIRTUE MEDICAL GROUP, LLC
- **Authorized official:** DANI DAVIS M.ED (COO)
- **Authorized official phone:** (806) 382-5064

## Contact information

- **Practice address:** 401 CENTER COURT DR, BRIDGEPORT, TX 76426-2250
- **Practice address phone:** (940) 255-6552
- **Practice address fax:** (940) 202-7058
- **Mailing address:** PO BOX 1500, BRIDGEPORT, TX 76426-1500
- **Mailing address phone:** (940) 255-6552
- **Mailing address fax:** (940) 202-7058

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | — |
| 207Q00000X | Family Medicine Physician | — | — | — |
| 207R00000X | Internal Medicine Physician | — | NULL | — |
| 207R00000X | Internal Medicine Physician | — | — | — |
| 208D00000X | General Practice Physician | — | NULL | Yes |
| 208D00000X | General Practice Physician | — | — | Yes |
| 261QR1300X | Rural Health Clinic/Center | — | NULL | — |
| 363AM0700X | Medical Physician Assistant | — | NULL | — |
| 363AM0700X | Medical Physician Assistant | — | — | — |

## Other

- **Enumeration date:** 08/20/2021
- **Last updated:** 02/17/2024