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General NPI Number Information
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NPI Number | 1235063421
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Entity Type | Organization
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Legal Business Name | VITALIS CARE PARTNERS HOLDINGS, LLC
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Dates
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Enumeration Date | 06/11/2026
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Last Update Date | 06/11/2026
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Provider Practice Location Address
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Address Line | 8700 LONG POINT RD STE 111
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City | HOUSTON
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State | TX
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Zip | 77055-3039
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Country | US
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Telephone | 832-410-4860
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Fax | 832-410-4861
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Provider Business Mailing Address
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Address Line | 8700 LONG POINT RD STE 111
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City | HOUSTON
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State | TX
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Zip | 77055-3039
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Country | US
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Telephone | 832-410-4860
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Fax | 832-410-4861
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Authorized Official
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Title or Position | MANAGING MEMBER
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Name | GRISELL LEONOR GUERRA CEDENO
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Credential |
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Telephone | 832-410-4860
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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