Organization Active NPI

Vaxpro Health, PLLC

  • Clinic/Center
  • College Station, TX
National Provider Identifier
1629964556
Registry record updated Jun 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
VAXPRO HEALTH, PLLC
Practice address
511 University Dr E Ste 210
College Station, TX 77840-1748
Phone
(262) 241-4522
NPI assigned
Jun 16, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2025

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

Authorized official

Name
Michael Demian
Title
VP Business Development
Phone
(262) 241-4522

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

511 University Dr E Ste 210
College Station, TX 77840-1748

Mailing address

511 University Dr E Ste 210
College Station, TX 77840-1748
Phone (262) 241-4522

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20260317004289 TX Part B Supplier - Clinic/Group Practice 7517441660 Receives reassigned benefits from 1 practitioner
Practice locations: College Station, TX

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1750032000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1750032000000",
    "number": "1629964556",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "511 UNIVERSITY DR E STE 210",
            "city": "COLLEGE STATION",
            "state": "TX",
            "postal_code": "778401748",
            "telephone_number": "262-241-4522"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "511 UNIVERSITY DR E STE 210",
            "city": "COLLEGE STATION",
            "state": "TX",
            "postal_code": "778401748",
            "telephone_number": "262-241-4522"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VAXPRO HEALTH, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-06-16",
        "last_updated": "2025-06-16",
        "certification_date": "2025-06-16",
        "status": "A",
        "authorized_official_last_name": "DEMIAN",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "VP BUSINESS DEVELOPMENT",
        "authorized_official_telephone_number": "262-241-4522"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in College Station, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2025; 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.