Organization
NOVA VITA TREATMENT CENTERS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GARRY MCINTOSH (PROJECT MANAGER)
(512) 551-0770
Entity
Organization
Contact information
Practice address
4428 S MCCOLL RD, EDINBURG, TX 78539-9608
(956) 335-0250
Mailing address
1701 DIRECTORS BLVD STE 110, AUSTIN, TX 78744-1096
(512) 551-0770
(214) 254-4667
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
—
—
Other
Enumeration date
05/03/2019
Last updated
09/04/2019
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