VITALITY CLINICS OF EAST TEXAS, P.A.
NPI 1508206442
Family Medicine - Adult Medicine in Tyler, TX

Active since June 25, 2013
455 RICE RD, 102, TYLER, TX 75703(903) 525-9432(903) 525-9455 Get Directions Write a Review

NPPES record last updated: June 25, 2013. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Vitality Clinics Of East Texas, P.a. NPPES

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

VITALITY CLINICS OF EAST TEXAS, P.A. (NPI 1508206442) is a healthcare organization registered as an adult medicine in Tyler, Texas and active in the NPI registry since June 2013. The organization lists Steven Kip Yoder, Owner, as its authorized official.

NPPES Registry Identity

NPI1508206442
Entity TypeOrganization
Primary Taxonomy207QA0505X
Legal Business NameVITALITY CLINICS OF EAST TEXAS, P.A.
Location Address455 RICE RD, 102Tyler, TX 75703-3604
Mailing Address455 Rice Rd, 102Tyler, TX 75703-3604 · (903) 525-9432 · Fax (903) 525-9455
Fax(903) 525-9455
Organization SubpartNo
Authorized OfficialSteven Kip YoderOwner · (903) 525-9432
Enumeration DateJune 25, 2013
NPI 1508206442 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily Medicine · Adult MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207QA0505X
Definition
The National Uniform Claim Committee (NUCC) recommends code 207QA0505X not be used. Choose a more appropriate code.
455 RICE RD, Tyler, TX 75703

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

Other Providers at the Same Location NPPES 5

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

Audiologist-Hearing Aid Fitter
455 RICE RD
TYLER, TX 75703
Hearing Instrument Specialist
455 RICE RD
TYLER, TX 75703
Family Medicine
455 RICE RD
TYLER, TX 75703
Internal Medicine
455 RICE RD, SUITE 111
TYLER, TX 75703
Hearing Aid Equipment
455 RICE RD, 106
TYLER, TX 75703

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 Vitality Clinics Of East Texas, P.A.'s NPI number?

The NPI number for Vitality Clinics Of East Texas, P.A. is 1508206442. It was assigned to this organization in the NPPES registry on June 25, 2013.

Where is Vitality Clinics Of East Texas, P.A. located?

Vitality Clinics Of East Texas, P.A. is located at 455 Rice Rd 102, Tyler, TX 75703. The listed phone number is (903) 525-9432.

What is Vitality Clinics Of East Texas, P.A.'s specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Adult Medicine, with taxonomy code 207QA0505X.

When was this NPI record last updated?

The NPPES record for Vitality Clinics Of East Texas, P.A. was last updated on June 25, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.