Vitality Clinic LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

VITALITY CLINIC LLC

Practice address

9511 Huffmeister Rd Ste 1
Houston, TX 77095-2865

Phone

(832) 380-5770

Fax

(832) 510-4003

NPI assigned

Mar 17, 2022

Organization subpart

No

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

Authorized official

Name

Sandra N Davis, PHARMDNPI 1538833793

Title

Manager/Authorized Official

Phone

(832) 606-5882

Specialties & licenses 1

Addresses

Locations

Practitioners 4

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

• Sandra Nguyen Davis, PHARMD

  • Pharmacist
  • Houston, TX
  • NPI 1538833793
  NPD Authorized official
• Nicholas Benjamin Davis, PHARMD

  • Pharmacist
  • Houston, TX
  • NPI 1871964221
  NPD (past)
• Linda Ehlig Moore, PHARM.D.

  • Pharmacist
  • Houston, TX
  • NPI 1518338342
  NPD (past)
• Leslie Yates, PHARM.D.

  • Pharmacist
  • Houston, TX
  • NPI 1275080715
  NPD (past)

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": "1740938711",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9511 HUFFMEISTER RD STE 1",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770952865",
            "telephone_number": "832-380-5770",
            "fax_number": "832-510-4003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9511 HUFFMEISTER RD STE 1",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770952865",
            "telephone_number": "832-380-5770",
            "fax_number": "832-510-4003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VITALITY CLINIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-17",
        "last_updated": "2022-03-17",
        "certification_date": "2022-03-17",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "SANDRA",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "MANAGER/AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "832-606-5882",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mark C. Vital, MD
• Tamisha E Vital
• Vitaldrip Infusion, LLC
• Candida Vitale, M.D.
• Vitalis Care Partners Holdings, LLC
• Vitality Counseling and Wellness, LLC
• Vitality Health Services, Inc
• Vitality Medical Center of Houston
• Vitality Resources, Inc.
• Vitality Urology Institute

• Family Medicine Physician in Houston, TX
• Providers in Houston, 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.