Healthcare Provider Details

I. General information

NPI: 1336868611
Provider Name (Legal Business Name): VP HEALTH & CO LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/22/2022
Last Update Date: 12/07/2022
Certification Date: 12/07/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2026 W UNIVERSITY DR
DENTON TX
76201-0644
US

IV. Provider business mailing address

820 S MACARTHUR BLVD STE 105-349
COPPELL TX
75019-4216
US

V. Phone/Fax

Practice location:
  • Phone: 940-320-8100
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: VISHAL PATEL
Title or Position: PHYSICIAN
Credential: MD
Phone: 972-352-9448