Organization
PURA VITALITY LLC
Active
Other names
Pura Vitality LLC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TAHERA ENGLISH NURSE PRACTITIONER (NURSE PRACTITIONER/OWNER)
(678) 770-5542
Entity
Organization
Contact information
Practice address
4910 WILLOWBEND BLVD STE A, HOUSTON, TX 77035-3227
(678) 770-5542
Mailing address
4910 WILLOWBEND BLVD STE A, HOUSTON, TX 77035-3227
(678) 770-5542
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
02/20/2023
Last updated
02/20/2023
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