Vitalsfusion Primary Care PLLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

VITALSFUSION PRIMARY CARE PLLC

Practice address

940 W Stacy Rd Ste 110
Allen, TX 75013-5215

Phone

(773) 710-8081

NPI assigned

Mar 17, 2022

Last updated

Mar 17, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Fakhrudin A Mohamed, MD

Title

Owner

Phone

(773) 710-8081

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1647475200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1647475200000",
    "number": "1427706480",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "940 W STACY RD STE 110",
            "city": "ALLEN",
            "state": "TX",
            "postal_code": "750135215",
            "telephone_number": "773-710-8081"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "940 W STACY RD STE 110",
            "city": "ALLEN",
            "state": "TX",
            "postal_code": "750135215",
            "telephone_number": "773-710-8081"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VITALSFUSION PRIMARY CARE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-17",
        "last_updated": "2022-03-17",
        "certification_date": "2022-03-17",
        "status": "A",
        "authorized_official_last_name": "MOHAMED",
        "authorized_official_first_name": "FAKHRUDIN",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "773-710-8081",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Heather Elizabeth Vite
• Vitl RX Pharmacy LLC
• Vivian's Personal Health Services
• VJ Services Group Inc. (VJ Services Group)

• Family Medicine Physician in Allen, TX
• Providers in Allen, TX by specialty
• Family Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2022; 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.