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Organization

VIRTUE MEDICAL GROUP, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DANI DAVIS M. ED (COO)
(806) 382-5064
Entity
Organization

Contact information

Practice address
1306 13TH ST, BRIDGEPORT, TX 76426-2454
(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
261QP2000X
Physical Therapy Clinic/Center
261QP2300X
Primary Care Clinic/Center
Primary
261QR1300X
Rural Health Clinic/Center

Other

Enumeration date
08/05/2021
Last updated
09/24/2024
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