Vision Park Clinical Group, LLC

Primary specialty

Plastic Surgery PhysicianTaxonomy code 208200000X

Legal business name

VISION PARK CLINICAL GROUP, LLC

Practice address

119 Vision Park Blvd
Shenandoah, TX 77384-3001

Phone

(281) 900-7590

NPI assigned

Apr 1, 2015

Organization subpart

No

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

Authorized official

Name

Sabrina Lahiri

Title

Manager

Phone

(281) 900-9750

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1427846400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1427846400000",
    "number": "1255726758",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "119 VISION PARK BLVD",
            "city": "SHENANDOAH",
            "state": "TX",
            "postal_code": "773843001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "119 VISION PARK BLVD",
            "city": "SHENANDOAH",
            "state": "TX",
            "postal_code": "773843001",
            "telephone_number": "281-900-7590"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VISION PARK CLINICAL GROUP, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-01",
        "last_updated": "2015-04-01",
        "status": "A",
        "authorized_official_last_name": "LAHIRI",
        "authorized_official_first_name": "SABRINA",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "281-900-9750"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Plastic Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gregory Vidovic, DPM, D.ABFAS
• Hema Vijay, DNP, AGACNP-BC, APRN
• Victoria Villarreal
• James Ryan Molato Villaruel
• Jenny Lyn Viney, APRN
• Vision Park Diagnostics, LLC
• Vision Park Surgery Center, LLC
• Christopher Paul Visser, MD
• John Voight, RN
• Maribel Bermejo Voluntad, AGACNP

• Plastic Surgery Physician in Shenandoah, TX
• Providers in Shenandoah, TX by specialty
• Plastic Surgery Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.