Healthcare Provider Details

I. General information

NPI: 1942503339
Provider Name (Legal Business Name): VIGORCARE PARTNERS OF TEXAS, LTD.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/07/2010
Last Update Date: 07/21/2022
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1700 ALMA DR STE 230
PLANO TX
75075-6905
US

IV. Provider business mailing address

1700 ALMA DR STE 230
PLANO TX
75075-6914
US

V. Phone/Fax

Practice location:
  • Phone: 469-429-2912
  • Fax:
Mailing address:
  • Phone: 469-429-2912
  • Fax: 469-429-2914

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number StateTX
# 2
Primary TaxonomyN
Taxonomy Code251F00000X
TaxonomyHome Infusion Agency
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code251J00000X
TaxonomyNursing Care Agency
License Number014136
License Number StateTX

VIII. Authorized Official

Name: OLUSEUN A AKINWUNMI
Title or Position: GENERAL MANAGER
Credential:
Phone: 469-222-8240