C & C Vitality Health-Texas LLC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

Legal business name

C & C VITALITY HEALTH-TEXAS LLC

Practice address

2501 Avenue J Ste 135
Arlington, TX 76006-6227

Phone

(832) 960-1233

NPI assigned

Mar 12, 2024

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Raul Hernandez Canete, APRNNPI 1154077220

Title

Ceo

Phone

(832) 960-1233

Specialties & licenses 1

Addresses

Other names 1

• CLINICA FAMILIAR ESMERALDA Doing business as

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Raul Hernandez Canete, FNP-C

  • Family Nurse Practitioner
  • Miami, FL
  • NPI 1154077220

  TX

  Medicare reassignment NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1710201600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1710201600000",
    "number": "1164280319",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2501 AVENUE J STE 135",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760066227"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2501 AVENUE J STE 135",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760066227",
            "telephone_number": "832-960-1233"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "C & C VITALITY HEALTH-TEXAS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-12",
        "last_updated": "2024-03-12",
        "certification_date": "2024-03-12",
        "status": "A",
        "authorized_official_last_name": "HERNANDEZ CANETE",
        "authorized_official_first_name": "RAUL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "832-960-1233",
        "authorized_official_credential": "APRN"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CLINICA FAMILIAR ESMERALDA",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Hilary Byatt, M.S., CCC-SLP
• Kimberly Ann Bynum, FNP-C
• Alice M Byrd
• Jennifer Byrne
• Zachary David Byrne
• C & M Mitchell Healthcare Group LLC
• C and J Medical Transport, LLC
• Chad C Debaca, RN
• Joseph Anthony Cabano, RN
• Ernesto Cabrera, CSFA/ LSA

• Family Nurse Practitioner in Arlington, TX
• Providers in Arlington, TX by specialty
• Family Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.