NEW VITALITY CLINIC
NPI 1285044057
Clinic/Center in Port Lavaca, TX
- Organization
- Clinic/Center
About NEW VITALITY CLINIC
This page provides the complete NPI Profile along with additional information for New Vitality Clinic, a provider established in Port Lavaca, Texas operating as a Clinic/center. The healthcare provider is registered in the NPI registry with number 1285044057 assigned on May 2014. The practitioner's primary taxonomy code is 261Q00000X. The provider is registered as an organization and their NPI record was last updated 12 years ago. The authorized official of this NPI record is Dr. Gustavo Adolfo Gross Md (Owner)
- NPI
- 1285044057 Verify this NPI
- Provider Name
- NEW VITALITY CLINIC
- Entity Type
- Organization
- Location Address
- 1207 N VIRGINIA ST PORT LAVACA, TX 77979
- Location Phone
- (361) 746-1588
- Location Fax
- (361) 400-5310
- Mailing Address
- 1207 N VIRGINIA ST PORT LAVACA, TX 77979
- Mailing Phone
- (361) 746-1588
- Mailing Fax
- (361) 400-5310
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 05-02-2014
- Last Update Date
- 05-02-2014
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Clinic/Center
- Taxonomy Code
- 261Q00000X
- Type
- Ambulatory Health Care Facilities
- License State
- TX
- Taxonomy Description
- 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).
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 00886 | OTHER (01) | TX | STATE LIC NUMBER |
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Other Providers at the Same Location
The following 1 provider is registered at the same or a nearby location.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1285044057, enumerated as an "organization" on May 02, 2014.
The provider is located at 1207 N VIRGINIA ST PORT LAVACA, TX 77979 and the phone number is (361) 746-1588.
Clinic/Center with taxonomy code 261Q00000X.
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.
