1. Home
  2. Directory
  3. Texas
  4. Tioga
  5. Physician Assistant
  6. NPI Profile

VITALITY IV THERAPY AND WELLNESS LLC
NPI 1538058755
Physician Assistant in Tioga, TX

Active since July 01, 2025CLIA 45D2326531 · Waiver
201 S RAY ROBERTS PKWY STE B, TIOGA, TX 76271(940) 289-4799 Get Directions Write a Review

NPPES record last updated: July 1, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Vitality Iv Therapy And Wellness Llc NPPES

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

VITALITY IV THERAPY AND WELLNESS LLC (NPI 1538058755) is a healthcare organization registered as a physician assistant in Tioga, Texas and active in the NPI registry since July 2025. The organization holds a CLIA Waiver certificate valid through July 6, 2027 and lists Velislava Middleton, Owner, as its authorized official.

NPPES Registry Identity

NPI1538058755
Entity TypeOrganization
Primary Taxonomy363A00000X
Legal Business NameVITALITY IV THERAPY AND WELLNESS LLC
Location Address201 S RAY ROBERTS PKWY STE BTioga, TX 76271-3656
Mailing Address201 S Ray Roberts Pkwy Ste BTioga, TX 76271-3656 · (940) 289-4799
Phone(940) 289-4799
Organization SubpartNo
Authorized OfficialVelislava MiddletonOwner · (214) 499-4107
Enumeration DateJuly 1, 2025
NPPES CertifiedJuly 1, 2025
✔ NPI 1538058755 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
201 S RAY ROBERTS PKWY STE B, Tioga, TX 76271
Open in Google Maps ↗

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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company).Insurance ›

CLIA Laboratory Certificates CMS CLIA

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 45D2326531

Vitality IV Therapy & Wellness · Tioga, TX
Active · expires Jul 6, 2027
CLIA Number45D2326531
Laboratory TypePhysician Office
Certificate Effective DateJuly 7, 2025
Certificate Expiration DateJuly 6, 2027
Laboratory DirectorVelislava S. Middleton
Laboratory Phone(940) 289-4799
Laboratory LocationVitality IV Therapy & Wellness201 S Ray Roberts Pkwy Suite B, Tioga, TX 76271
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory to perform only waived tests.

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 IV Therapy And Wellness LLC's NPI number?

The NPI number for Vitality IV Therapy And Wellness LLC is 1538058755. It was assigned to this organization in the NPPES registry on July 1, 2025.

Where is Vitality IV Therapy And Wellness LLC located?

Vitality IV Therapy And Wellness LLC is located at 201 S Ray Roberts Pkwy Ste B, Tioga, TX 76271. The listed phone number is (940) 289-4799.

What is Vitality IV Therapy And Wellness LLC's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Does Vitality IV Therapy And Wellness LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 45D2326531) is associated with this NPI, valid through July 6, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Vitality IV Therapy And Wellness LLC accept?

Health plans from Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) list Vitality IV Therapy And Wellness 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 Vitality IV Therapy And Wellness LLC was last updated on July 1, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.