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NPI Code Detail

MEDICARE: VYTALIZEMED PLLC

MEDICARE: VYTALIZEMED 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

General Provider Information

NPI Number : 1720930092
Entity Type Code : Organization
Provider Name (Legal Business Name) : VYTALIZEMED PLLC
Provider Business Mailing Address
First Line : 3200 TALON DR STE 300
Second Line :
City : RICHARDSON
State : TX
Zip : 75082-9720
Country : US
Telephone Number : 945-387-3404
Fax Number :
Provider Business Practice Location Address
First Line : 3200 TALON DR STE 300
Second Line :
City : RICHARDSON
State : TX
Zip : 75082-9720
Country : US
Telephone Number : 945-387-3404
Fax Number :
Authorized Official
Title or Position : MANAGING MEMBER
Name : SAJID IQBAL
Credential : MD
Telephone Number : 945-387-3404
Provider Enumeration Date : 02/10/2026
Last Update Date : 02/10/2026

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Directions to “VYTALIZEMED PLLC ” Practice Location

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