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VYTALUS MEDICAL GROUP, PLLC
NPI 1053631275
Family Medicine in Kingwood, TX

Active since June 10, 2010CLIA Certified · 2 labs
23330 HIGHWAY 59 N STE 300, KINGWOOD, TX 77339(281) 359-3223(281) 359-2089 Get Directions Write a Review

NPPES record last updated: December 9, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 9, 2024, Jul 30, 2024, Jun 7, 2024 and 4 more (7 updates tracked since 2017).

About Vytalus Medical Group, Pllc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

VYTALUS MEDICAL GROUP, PLLC (NPI 1053631275), doing business as Diagnostic Affiliates Of Northeast Houston, Pllc, is a healthcare organization registered as a family medicine in Kingwood, Texas and active in the NPI registry since June 2010. The organization holds 2 active CLIA laboratory certificates, maintains a secondary practice location in Humble, and lists Rachel E Tubbs, Administrative Assistant, as its authorized official.

NPPES Registry Identity

NPI1053631275
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameVYTALUS MEDICAL GROUP, PLLC
Location Address23330 HIGHWAY 59 N STE 300Kingwood, TX 77339-4471
Mailing Address23330 Highway 59 N Ste 300Kingwood, TX 77339-4471 · (281) 359-3223 · Fax (281) 359-2089
Phone(281) 359-3223
Fax(281) 359-2089
Organization SubpartNo
Authorized OfficialRachel E TubbsAdministrative Assistant · (281) 359-3223
Enumeration DateJune 10, 2010
Last NPPES UpdateDecember 9, 20247 updates tracked since enumeration
NPPES CertifiedDecember 9, 2024
✔ NPI 1053631275 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
23330 HIGHWAY 59 N STE 300, Kingwood, TX 77339
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Other Names 1

Former Legal Business NameDiagnostic Affiliates Of Northeast Houston, Pllc

Secondary Practice Location 1

Location 115720 Woodland Hills Dr Ste 600Humble, TX 77346-5403 · Phone (281) 359-3223 · Fax (281) 359-2089

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA 2

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 45D2302792

Vytalus Medical Group - Balmoral · Humble, TX
Active · expires Apr 15, 2028
CLIA Number45D2302792
Laboratory TypePhysician Office
Certificate Effective DateApril 16, 2026
Certificate Expiration DateApril 15, 2028
Laboratory DirectorMartin Basaldua
Laboratory Phone(281) 359-3223
Laboratory LocationVytalus Medical Group - Balmoral15720 Woodland Hills Dr, Ste 600, Humble, TX 77346
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 45D0989670

Vytalus Medical Group, PLLC · Kingwood, TX
Active · expires Aug 1, 2027
CLIA Number45D0989670
Laboratory TypePhysician Office
Certificate Effective DateAugust 2, 2025
Certificate Expiration DateAugust 1, 2027
Laboratory DirectorMartin Basaldua MD
Laboratory Phone(281) 359-3223
Laboratory LocationVytalus Medical Group, PLLC23330 Us Hwy 59 N, Ste 300, Kingwood, TX 77339
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JAMES HARRY PHELAN M.D.
Family Medicine
23330 HIGHWAY 59 N STE 300
KINGWOOD, TX 77339
Harris County (281) 359-3223
MR. MARCUS SEVIER P.A.-C
Physician Assistant
23330 HIGHWAY 59 N STE 300
KINGWOOD, TX 77339
Harris County (281) 359-3223
AMANDA B NEILL FNP
Nurse Practitioner (Family)
23330 HIGHWAY 59 N STE 300
KINGWOOD, TX 77339
Harris County (281) 359-3223

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Vytalus Medical Group, PLLC's NPI number?

The NPI number for Vytalus Medical Group, PLLC is 1053631275. It was assigned to this organization in the NPPES registry on June 10, 2010. The provider was formerly known as Diagnostic Affiliates Of Northeast Houston, PLLC.

Where is Vytalus Medical Group, PLLC located?

Vytalus Medical Group, PLLC is located at 23330 Highway 59 N Ste 300, Kingwood, TX 77339. The listed phone number is (281) 359-3223.

What is Vytalus Medical Group, PLLC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Does Vytalus Medical Group, PLLC hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

When was this NPI record last updated?

The NPPES record for Vytalus Medical Group, PLLC was last updated on December 9, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.