Organization
VITAL PHYSICIAN SERVICES PLLC
Active
Organization
VITAL PHYSICIAN SERVICES PLLC
Active
Other names
Evolution Health Services
Organization subpart
No
Provider details
NPI number
Authorized official
JEFFREY DANIEL HANNAH PA-C (OWNER)
(737) 222-5553
Entity
Organization
Contact information
Practice address
3720 GATTIS SCHOOL RD STE 800, ROUND ROCK, TX 78664-4660
(808) 646-1691
Mailing address
3720 GATTIS SCHOOL RD STE 800, ROUND ROCK, TX 78664-4660
(737) 222-5553
(833) 907-2248
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
—
—
261Q00000X
Clinic/Center
Primary
—
—
363A00000X
Physician Assistant
—
—
Other
Enumeration date
07/14/2021
Last updated
12/22/2021
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