Individual
CANDIDA VITALE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1515 HOLCOMBE BLVD UNIT 428, HOUSTON, TX 77030-4028
(713) 792-7305
Mailing address
1515 HOLCOMBE BLVD UNIT 428, HOUSTON, TX 77030-4028
(713) 792-7305
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
BP10050725
TX
Other
Enumeration date
08/19/2014
Last updated
08/19/2014
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