| NPI | 1528504065 |
|---|---|
| Other Name | VITAL CARE FAMILY PRACTICE |
| Entity Type | Organization |
| Authorized Contact | CANDACE D WYNNE Billing 432-704-5663 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: TX Q7356) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: TX AP121037) |
| 207Q00000X Family Medicine (Licence: TX AP128857) | |
| Enumeration Date | 2017-01-09 |
| Last Update Date | 2017-01-09 |