Organization Active NPI

Vital Health, LLC

  • Multi-Specialty Clinic/Center
  • San Antonio, TX
National Provider Identifier
1710323852
Registry record updated Jul 14, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X
Legal business name
VITAL HEALTH, LLC
Practice address
3619 Paesanos Pkwy
Ste 212
San Antonio, TX 78231-1253
Phone
(210) 690-5599
Fax
(210) 690-5595
NPI assigned
May 16, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 14, 2014

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

Authorized official

Name
Mrs. Quiara Sherrard, MBA
Title
Cro
Phone
(210) 233-7093

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Multi-Specialty Clinic/Center 261QM1300X Primary

Addresses

Primary practice location

3619 Paesanos Pkwy
Ste 212
San Antonio, TX 78231-1253

Mailing address

755 E Mulberry Ave
200
San Antonio, TX 78212-3129
Phone (210) 233-7070

National Provider Directory

National Provider Directory

Locations

755 E Mulberry Ave
Ste 200
San Antonio, TX 78212

NPI Registry JSON

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

{
    "created_epoch": "1368662400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1405296000000",
    "number": "1710323852",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "755 E MULBERRY AVE",
            "address_2": "200",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782123129",
            "telephone_number": "210-233-7070",
            "fax_number": "210-277-5199"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3619 PAESANOS PKWY",
            "address_2": "STE 212",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782311253",
            "telephone_number": "210-690-5599",
            "fax_number": "210-690-5595"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VITAL HEALTH, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-05-16",
        "last_updated": "2014-07-14",
        "status": "A",
        "authorized_official_last_name": "SHERRARD",
        "authorized_official_first_name": "QUIARA",
        "authorized_official_title_or_position": "CRO",
        "authorized_official_telephone_number": "210-233-7093",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MBA"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2014; 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.