Healthcare Provider Details

I. General information

NPI: 1346145448
Provider Name (Legal Business Name): VITALUXE MEDICAL AND WELLNESS PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/09/2026
Last Update Date: 10/09/2026
Certification Date: 10/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3120 SOUTHWEST FWY FL 1
HOUSTON TX
77098-4509
US

IV. Provider business mailing address

3120 SOUTHWEST FWY FL 1
HOUSTON TX
77098-4509
US

V. Phone/Fax

Practice location:
  • Phone: 832-789-8443
  • Fax: 832-688-7207
Mailing address:
  • Phone: 832-789-8443
  • Fax: 832-688-7207

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QU0200X
TaxonomyUrgent Care Clinic/Center
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number
License Number StateNULL

VIII. Authorized Official

Name: AUDREY ESOTU
Title or Position: ONWER
Credential: NP
Phone: 260-467-0743