Organization
VITAL MEDICAL SERVICES, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PEDRO RUEY-MING YEN M.D. (PHYSICIAN)
(214) 328-2999
Entity
Organization
Contact information
Practice address
1900 OATES DR STE 138, MESQUITE, TX 75150-6802
(972) 270-7600
Mailing address
2638 LAKEFOREST CT, DALLAS, TX 75214-3881
(214) 328-2999
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
K1958
TX
Other
Enumeration date
10/24/2006
Last updated
08/22/2020
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