Organization
VITAL IOM LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ZACH LENZ (CEO)
(972) 733-9955
Entity
Organization
Contact information
Practice address
17194 PRESTON RD STE 120, DALLAS, TX 75248-1203
(972) 733-9955
(972) 733-9935
Mailing address
17194 PRESTON RD STE 120, DALLAS, TX 75248-1203
(972) 733-9955
(972) 733-9935
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
—
—
Other
Enumeration date
03/04/2016
Last updated
03/04/2016
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