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New Vitality Clinic
Clinic/Center in Port Lavaca, Texas
NPI 1285044057

New Vitality Clinic is a Clinic/Center based in Port Lavaca, TX. New Vitality Clinic practices in Port Lavaca, TX. The NPI Number for New Vitality Clinic is 1285044057 and holds a License No. (Texas).

The current practice location address for New Vitality Clinic is 1207 N Virginia St, Port Lavaca, TX and can be reached out via phone at 361-746-1588 and via fax at 361-400-5310.

Location: 1207 N Virginia St, Port Lavaca, TX, 77979-2506
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1285044057
Provider Name
New Vitality Clinic
Credential
Provider Entity Type
Organization
Address
1207 N Virginia St, Port Lavaca, TX, 77979-2506
Phone Number
361-746-1588
Fax Number
361-400-5310
Provider Enumeration Date
05/02/2014
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
00886 01 TX STATE LIC NUMBER
institution
Provider Business Practice Location Address Details
Address
1207 N Virginia St
City
Port Lavaca
State
Texas
Zip
77979-2506
Phone Number
361-746-1588
Fax Number
361-400-5310
person
Provider Business Mailing Address Details
Address
1207 N Virginia St
City
Port Lavaca
State
Texas
Zip
77979-2506
Phone Number
361-746-1588
Fax Number
361-400-5310
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
-
Taxonomy
261Q00000X
License No.
(Texas)
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
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