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VITAL HOUSECALL GROUP INC.

Physician Assistant

NPI: 1790079887Organization

Specialties, Licenses & Credentials

General Practice Physician

General Practice

Code: 208D00000X

G6955(TX)G6995(TX)D6396(TX)F0773(TX)
Physician AssistantPrimary

Physician Assistant

Code: 363A00000X

PA02941(TX)PA05315(TX)PA04634(TX)PA04648(TX)
Nurse Practitioner

Nurse Practitioner

Code: 363L00000X

763184(TX)572451(TX)
Acute Care Nurse Practitioner

Nurse Practitioner — Acute Care

Code: 363LA2100X

600761(TX)
Family Nurse Practitioner

Nurse Practitioner — Family

Code: 363LF0000X

633922(TX)508116(TX)649018(TX)

Contact & Hours

Address
2617 BOLTON BOONE DR, SUITE B
DESOTO, TX 75115

Quick Facts

NPI
1790079887
Entity Type
Organization
Medicare
Not confirmed
Specialties
14
Locations
1

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