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General NPI Number Information
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NPI Number | 1912841776
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Entity Type | Organization
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Legal Business Name | VITALIS MEDICAL CENTER
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Dates
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Enumeration Date | 04/14/2026
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Last Update Date | 04/14/2026
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Provider Practice Location Address
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Address Line | 20514 WESTFIELD ESTATES DR
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City | KATY
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State | TX
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Zip | 77449-4720
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Country | US
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Telephone | 786-942-0500
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Fax |
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Provider Business Mailing Address
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Address Line | 20514 WESTFIELD ESTATES DR
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City | KATY
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State | TX
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Zip | 77449-4720
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | FAMILY NURSE PRACTITIONER
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Name | LAZARO ALEXANDER YERO ZAMORA
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Credential | APRN
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Telephone | 786-942-0500
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 364SF0001X
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Taxonomy Name | Family Health Clinical Nurse Specialist
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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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