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Organization
PM VITAS LLC
Active
Organization
PM VITAS LLC
Active
Other names
Clinica La Familia
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM HERNANDEZ LEYVA (PROVIDER)
(786) 603-9409
Entity
Organization
Contact information
Practice address
1018 E IRVING BLVD, IRVING, TX 75060-4351
(469) 471-1539
(469) 654-4091
Mailing address
2639 WALNUT HILL LN STE 225, DALLAS, TX 75229-5699
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
03/19/2022
Last updated
07/24/2025
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