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General NPI Number Information
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NPI Number | 1346145448
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Entity Type | Organization
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Legal Business Name | VITALUXE MEDICAL AND WELLNESS PLLC
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Dates
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Enumeration Date | 10/09/2026
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Last Update Date | 10/09/2026
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Provider Practice Location Address
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Address Line | 3120 SOUTHWEST FWY FL 1
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City | HOUSTON
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State | TX
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Zip | 77098-4509
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Country | US
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Telephone | 832-789-8443
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Fax | 832-688-7207
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Provider Business Mailing Address
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Address Line | 3120 SOUTHWEST FWY FL 1
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City | HOUSTON
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State | TX
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Zip | 77098-4509
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Country | US
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Telephone | 832-789-8443
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Fax | 832-688-7207
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Authorized Official
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Title or Position | ONWER
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Name | AUDREY ESOTU
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Credential | NP
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Telephone | 260-467-0743
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QU0200X
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Taxonomy Name | Urgent Care Clinic/Center
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License Number |
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License Number State | NULL
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number |
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License Number State | NULL
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