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NPI Code Detail

MEDICARE: VITALITY VEIN CARE

MEDICARE: VITALITY VEIN CARE
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363L00000XNurse Practitioner
2208600000XSurgery Physician

General Provider Information

NPI Number : 1578186235
Entity Type Code : Organization
Provider Name (Legal Business Name) : VITALITY VEIN CARE
Provider Business Mailing Address
First Line : 221 N PRESTON RD STE A
Second Line :
City : PROSPER
State : TX
Zip : 75078-8653
Country : US
Telephone Number : 760-315-0832
Fax Number :
Provider Business Practice Location Address
First Line : 221 N PRESTON RD STE A
Second Line :
City : PROSPER
State : TX
Zip : 75078-8653
Country : US
Telephone Number : 760-315-0832
Fax Number :
Authorized Official
Title or Position : PARTNER
Name : AARON MICHAEL ROBERTS
Credential :
Telephone Number : 713-449-2126
Provider Enumeration Date : 05/28/2020
Last Update Date : 09/30/2025

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Directions to “VITALITY VEIN CARE ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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