| NPI | 1528641941 |
|---|---|
| Doing Business As | PRIME VITALITY WELLNESS |
| Doing Business As | VITALITY MEDICAL |
| Entity Type | Organization |
| Authorized Contact | SHIV KUMAR GOEL Medical Director 210-852-1871 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Enumeration Date | 2021-05-03 |
| Last Update Date | 2025-07-08 |