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General NPI Number Information
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NPI Number | 1821967829
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Entity Type | Organization
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Legal Business Name | VITALITY HIVB PLLC, VITALITY HORMONE & IV BAR
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Dates
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Enumeration Date | 10/30/2025
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Last Update Date | 10/30/2025
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Provider Practice Location Address
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Address Line | 8701 SPRING CYPRESS RD
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City | SPRING
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State | TX
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Zip | 77379-3326
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Country | US
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Telephone | 832-562-3390
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Fax | 832-522-3391
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Provider Business Mailing Address
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Address Line | 8701 SPRING CYPRESS RD
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City | SPRING
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State | TX
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Zip | 77379-3326
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Country | US
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Telephone | 832-562-3390
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Fax | 832-562-3391
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | PAMELA S MCCANTS
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Credential | DOA
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Telephone | 832-562-3390
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207LP2900X
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Taxonomy Name | Pain Medicine (Anesthesiology) Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 363LP2300X
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Taxonomy Name | Primary Care Nurse Practitioner
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License Number |
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License Number State |
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