NEW VITALITY CLINIC
NPI 1285044057
Clinic/Center in Port Lavaca, TX

Active since May 02, 2014
1207 N VIRGINIA ST, PORT LAVACA, TX 77979(361) 746-1588(361) 400-5310 Get Directions Write a Review

NPPES record last updated: May 2, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About New Vitality Clinic NPPES

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

NEW VITALITY CLINIC (NPI 1285044057) is a healthcare organization registered as a clinic/center in Port Lavaca, Texas and active in the NPI registry since May 2014. The organization lists Gustavo Adolfo Gross, Owner, as its authorized official.

NPPES Registry Identity

NPI1285044057
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameNEW VITALITY CLINIC
Location Address1207 N VIRGINIA STPort Lavaca, TX 77979-2506
Mailing Address1207 N Virginia StPort Lavaca, TX 77979-2506 · (361) 746-1588 · Fax (361) 400-5310
Fax(361) 400-5310
Organization SubpartNo
Authorized OfficialGustavo Adolfo GrossOwner · (830) 491-2151
Enumeration DateMay 2, 2014
NPI 1285044057 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
1207 N VIRGINIA ST, Port Lavaca, TX 77979

Other Identifiers 1

Other00886TX · State Lic Number

Other Providers at the Same Location NPPES

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

Physician Assistant (Medical)
1207 N VIRGINIA ST
PORT LAVACA, TX 77979

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 New Vitality Clinic's NPI number?

The NPI number for New Vitality Clinic is 1285044057. It was assigned to this organization in the NPPES registry on May 2, 2014.

Where is New Vitality Clinic located?

New Vitality Clinic is located at 1207 N Virginia St, Port Lavaca, TX 77979. The listed phone number is (361) 746-1588.

What is New Vitality Clinic's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

When was this NPI record last updated?

The NPPES record for New Vitality Clinic was last updated on May 2, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.