Organization
VINE MEDICAL SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ELIJAH NYASENDE NP (OWNER)
(214) 208-5829
Entity
Organization
Contact information
Practice address
5409 PINEWOOD DR, MCKINNEY, TX 75071-8384
(214) 208-5829
Mailing address
5409 PINEWOOD DR, MCKINNEY, TX 75071-8384
(214) 208-5829
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1760891568
NPPES
TX
Enumeration date
05/13/2020
Last updated
08/28/2020
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up