# VITALITY UROLOGY INSTITUTE

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1811743719
- **Authorized official:** JONATHAN CLAVELL (OWNER/PHYSICIAN)
- **Authorized official phone:** (713) 424-4030

## Contact information

- **Practice address:** 12727 KIMBERLEY LN STE 303, HOUSTON, TX 77024-4047
- **Practice address phone:** (713) 424-4030
- **Mailing address:** 12727 KIMBERLEY LN STE 303, HOUSTON, TX 77024-4047

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208800000X | Urology Physician | — | NULL | Yes |
| 208800000X | Urology Physician | — | — | Yes |

## Other

- **Enumeration date:** 04/30/2024
- **Last updated:** 04/30/2024