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General NPI Number Information
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NPI Number | 1720231442
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Entity Type | Organization
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Legal Business Name | VIVA MEDICAL GROUP, LLC
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Dates
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Enumeration Date | 10/25/2008
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Last Update Date | 02/11/2026
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Provider Practice Location Address
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Address Line | 275 W CAMPBELL RD STE 400
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City | RICHARDSON
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State | TX
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Zip | 75080-3581
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Country | US
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Telephone | 469-341-7772
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Fax | 972-378-2111
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Provider Business Mailing Address
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Address Line | 275 W CAMPBELL RD STE 400
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City | RICHARDSON
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State | TX
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Zip | 75080-3581
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Country | US
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Telephone | 469-341-7772
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Fax |
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Authorized Official
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Title or Position | CEO/OWNER
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Name | MR. EFREM L COLMENERO
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Credential |
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Telephone | 972-861-1000
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number | 012429
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License Number State | TX
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