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NPI Code Detail

MEDICARE: VIGILANT HEALTHCARE SOLUTIONS PLLC

MEDICARE: VIGILANT HEALTHCARE SOLUTIONS PLLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207R00000XInternal Medicine Physician

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1689235889
Entity Type Code : Organization
Provider Name (Legal Business Name) : VIGILANT HEALTHCARE SOLUTIONS PLLC
Provider Business Mailing Address
First Line : 2911 TURTLE CREEK BLVD STE 300
Second Line :
City : DALLAS
State : TX
Zip : 75219-6243
Country : US
Telephone Number : 888-316-5498
Fax Number : 888-316-5498
Provider Business Practice Location Address
First Line : 2911 TURTLE CREEK BLVD STE 300
Second Line :
City : DALLAS
State : TX
Zip : 75219-6243
Country : US
Telephone Number : 888-316-5498
Fax Number : 888-316-5498
Authorized Official
Title or Position : PRESIDENT
Name : DR. MARK A MAZZARE
Credential : MD
Telephone Number : 888-316-5498
Provider Enumeration Date : 06/27/2019
Last Update Date : 09/04/2019

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Directions to “VIGILANT HEALTHCARE SOLUTIONS PLLC ” Practice Location

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