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Organization
VITAL HOUSECALL GROUP INC.
Active
Organization
VITAL HOUSECALL GROUP INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. NICHOLAS LAMARRE (OWNER)
(972) 841-3940
Entity
Organization
Contact information
Practice address
2617 BOLTON BOONE DR, STE. B, DESOTO, TX 75115-2074
(972) 709-1781
(972) 709-7738
Mailing address
2617 BOLTON BOONE DR, STE. B, DESOTO, TX 75115-2074
(972) 709-1781
(972) 709-7738
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
D6396
TX
208D00000X
General Practice Physician
F0773
TX
208D00000X
General Practice Physician
G6955
TX
208D00000X
General Practice Physician
G6995
TX
363A00000X
Physician Assistant
PA02941
TX
363A00000X
Physician Assistant
PA04634
TX
363A00000X
Physician Assistant
Primary
PA04648
TX
363A00000X
Physician Assistant
PA05315
TX
363L00000X
Nurse Practitioner
572451
TX
363L00000X
Nurse Practitioner
763184
TX
363LA2100X
Acute Care Nurse Practitioner
600761
TX
363LF0000X
Family Nurse Practitioner
508116
TX
363LF0000X
Family Nurse Practitioner
633922
TX
363LF0000X
Family Nurse Practitioner
649018
TX
Other
Enumeration date
06/06/2011
Last updated
06/06/2011
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