Vital Healthcare of Texas PLLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

VITAL HEALTHCARE OF TEXAS PLLC

Practice address

102 W Texas Blvd
Dalhart, TX 79022-4226

Phone

(806) 663-2812

Fax

(855) 449-1450

NPI assigned

Jan 16, 2020

Organization subpart

No

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

Authorized official

Name

Nathan A Vermedahl, MD

Title

Medical Director

Phone

(806) 663-2812

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1579132800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1579132800000",
    "number": "1639709751",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 CANYON VIEW DR",
            "city": "DALHART",
            "state": "TX",
            "postal_code": "790224100",
            "telephone_number": "806-663-2812",
            "fax_number": "855-449-1450"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 W TEXAS BLVD",
            "city": "DALHART",
            "state": "TX",
            "postal_code": "790224226",
            "telephone_number": "806-663-2812",
            "fax_number": "855-449-1450"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VITAL HEALTHCARE OF TEXAS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-01-16",
        "last_updated": "2020-01-16",
        "certification_date": "2020-01-16",
        "status": "A",
        "authorized_official_last_name": "VERMEDAHL",
        "authorized_official_first_name": "NATHAN",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "806-663-2812",
        "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": []
}

• Lizbeth Tarango Chavez
• Ju Lee Thompson, M.A., LPC, LCDC
• Shannon Marie Torres, RN
• Matthew Turner, M.D.
• United Supermarkets LLC
• Joshua Warnica, LCSW
• Raymond Earl Weld, D.C.
• Brian Wilson
• Traleia Wing, PTA
• Breann Wooton, PT

• All providers in Dalhart, TX
• Family Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2020; 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.