VITALITY WELLNESS CLINIC
NPI 1154824209
Specialist in Colleyville, TX

Active since March 15, 2018
6407 COLLEYVILLE BLVD STE B, COLLEYVILLE, TX 76034(817) 527-6077(817) 796-1694 Get Directions Write a Review

NPPES record last updated: October 5, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Oct 5, 2023, Mar 15, 2018 (2 updates tracked since 2018).

About Vitality Wellness Clinic NPPES

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

VITALITY WELLNESS CLINIC (NPI 1154824209) is a healthcare organization registered as a specialist in Colleyville, Texas and active in the NPI registry since March 2018. The organization lists Vitality Wellness Clinic, Owner, as its authorized official.

NPPES Registry Identity

NPI1154824209
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameSOUTHLAKE FOOT & WELLNESS CENTER LLC
Location Address6407 COLLEYVILLE BLVD STE BColleyville, TX 76034-6279
Mailing Address901 W Wall St Ste 103Grapevine, TX 76051-7419 · (817) 527-6077
Fax(817) 796-1694
Organization SubpartNo
Authorized OfficialVitality Wellness ClinicOwner · (817) 527-6077
Enumeration DateMarch 15, 2018
Last NPPES UpdateOctober 5, 20232 updates tracked since enumeration
NPPES CertifiedOctober 5, 2023
NPI 1154824209 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License Licensed in TX · AC00108
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
6407 COLLEYVILLE BLVD STE B, Colleyville, TX 76034

Other Names 1

Doing Business AsVitality Wellness Clinic

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

Other Providers at the Same Location NPPES

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

Clinic/Center (Sleep Disorder Diagnostic)
6407 COLLEYVILLE BLVD STE B
COLLEYVILLE, TX 76034

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 Southlake Foot & Wellness Center LLC's NPI number?

The NPI number for Southlake Foot & Wellness Center LLC is 1154824209. It was assigned to this organization in the NPPES registry on March 15, 2018. The provider is doing business as Vitality Wellness Clinic.

Where is Southlake Foot & Wellness Center LLC located?

Southlake Foot & Wellness Center LLC is located at 6407 Colleyville Blvd Ste B, Colleyville, TX 76034. The listed phone number is (817) 527-6077.

What is Southlake Foot & Wellness Center LLC's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

What insurance does Southlake Foot & Wellness Center LLC accept?

Health plans from Blue Cross and Blue Shield of Texas list Southlake Foot & Wellness Center LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Southlake Foot & Wellness Center LLC was last updated on October 5, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.