# VIVA MEDICAL GROUP, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** VIVA Pediatric Healthcare, Viva Pediatrics
- **Organization subpart:** No

## Provider details

- **NPI number:** 1720231442
- **Authorized official:** MR. EFREM L COLMENERO (CEO/OWNER)
- **Authorized official phone:** (972) 861-1000

## Contact information

- **Practice address:** 275 W CAMPBELL RD STE 400, RICHARDSON, TX 75080-3581
- **Practice address phone:** (469) 341-7772
- **Practice address fax:** (972) 378-2111
- **Mailing address:** 275 W CAMPBELL RD STE 400, RICHARDSON, TX 75080-3581
- **Mailing address phone:** (469) 341-7772

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | 012429 | TX | Yes |

## Other

- **Enumeration date:** 10/25/2008
- **Last updated:** 02/11/2026

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 199481601 | — | TX |