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Organization
VIVA MEDICAL GROUP, LLC
Active
Organization
VIVA MEDICAL GROUP, LLC
Active
Other names
VIVA Pediatric Healthcare, Viva Pediatrics
Organization subpart
No
Provider details
NPI number
Authorized official
MR. EFREM L COLMENERO (CEO/OWNER)
(972) 861-1000
Entity
Organization
Contact information
Practice address
275 W CAMPBELL RD STE 400, RICHARDSON, TX 75080-3581
(469) 341-7772
(972) 378-2111
Mailing address
275 W CAMPBELL RD STE 400, RICHARDSON, TX 75080-3581
(469) 341-7772
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
012429
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
199481601
—
TX
Enumeration date
10/25/2008
Last updated
02/11/2026
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