Individual
DR. MARK C. VITAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2855 GRAMERCY ST, HOUSTON, TX 77025
(713) 668-6828
Mailing address
2855 GRAMERCY ST # 400, HOUSTON, TX 77025-1697
(713) 668-6828
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
K5422
TX
207WX0120X
Cornea and External Diseases Specialist Physician
K5244
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
145735001
—
TX
Enumeration date
08/11/2005
Last updated
03/22/2021
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