Organization
PRIME VITALITY LLC
Active
Other names
Vitality Medical, PRIME VITALITY WELLNESS
Organization subpart
No
Provider details
NPI number
Authorized official
SHIV KUMAR GOEL MD (MEDICAL DIRECTOR)
(210) 852-1871
Entity
Organization
Contact information
Practice address
10007 HUEBNER RD STE 302, SAN ANTONIO, TX 78240-1646
(210) 876-1635
(210) 761-6600
Mailing address
10007 HUEBNER RD STE 302, SAN ANTONIO, TX 78240-1646
(210) 837-3113
(210) 761-6600
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
05/03/2021
Last updated
07/08/2025
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