Organization
VITALITY WEIGHT LOSS AND WELLNESS INSTITUTE, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RUBY J SHAH MD (MEMBER MANAGER)
(951) 314-2930
Entity
Organization
Contact information
Practice address
6201 DALLAS PARKWAY, SUITE 210, PLANO, TX 75093
(972) 597-1639
Mailing address
5760 LEGACY DR, STE B3-424, PLANO, TX 75024-7102
(951) 314-2930
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
Q6034
TX
Other
Enumeration date
03/03/2016
Last updated
03/15/2022
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