MEDICARE: VITALHEALTH-PROSPER LLC

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
1	363LG0600X	Gerontology Nurse Practitioner

General Provider Information

NPI Number	:	1770469207
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	VITALHEALTH-PROSPER LLC

Provider Business Mailing Address
First Line	:	6225 PAINSWICK DR
Second Line	:
City	:	AUBREY
State	:	TX
Zip	:	76227-2928
Country	:	US
Telephone Number	:	469-481-6274
Fax Number	:	469-481-6274

Provider Business Practice Location Address
First Line	:	1400 N COIT RD STE 1903
Second Line	:
City	:	MCKINNEY
State	:	TX
Zip	:	75071-6661
Country	:	US
Telephone Number	:	469-481-6274
Fax Number	:	469-481-6274

Authorized Official
Title or Position	:	OWNER
Name	:	TEJIRI OJARUEGA
Credential	:	NP
Telephone Number	:	469-481-6274

Provider Enumeration Date	:	08/12/2025
Last Update Date	:	08/12/2025

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Directions to “VITALHEALTH-PROSPER LLC ” Practice Location

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