Organization
VIRTUE MEDICAL PA, PLLC
Active
Parent organization
VIRTUE MEDICAL GROUP, LLC
Other names
Virtue Medical PA, PLLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
VIRTUE MEDICAL GROUP, LLC
Authorized official
DANI DAVIS M.ED (COO)
(806) 382-5064
Entity
Organization
Contact information
Practice address
401 CENTER COURT DR, BRIDGEPORT, TX 76426-2250
(940) 255-6552
(940) 202-7058
Mailing address
PO BOX 1500, BRIDGEPORT, TX 76426-1500
(940) 255-6552
(940) 202-7058
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
—
—
208D00000X
General Practice Physician
Primary
—
—
261QR1300X
Rural Health Clinic/Center
—
—
363AM0700X
Medical Physician Assistant
—
—
Other
Enumeration date
08/20/2021
Last updated
02/17/2024
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