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VINTAGE THERAPEUTICS INC
NPI 1598699837
Nurse Practitioner - Psychiatric/Mental Health in Waller, TX

Active since June 11, 2026
31406 FM 2920 RD STE B102V, WALLER, TX 77484(281) 731-2169 Get Directions Write a Review

NPPES record last updated: June 11, 2026. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Vintage Therapeutics Inc NPPES

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

VINTAGE THERAPEUTICS INC (NPI 1598699837) is a healthcare organization registered as a psychiatric/mental health in Waller, Texas and active in the NPI registry since June 2026. The organization lists Beatrice Nkwelle, Aprn, as its authorized official.

NPPES Registry Identity

NPI1598699837
Entity TypeOrganization
Primary Taxonomy363LP0808X
Legal Business NameVINTAGE THERAPEUTICS INC
Location Address31406 FM 2920 RD STE B102VWaller, TX 77484-8665
Mailing Address31406 Fm 2920 Rd Ste B102vWaller, TX 77484-8665
Phone(281) 731-2169
Organization SubpartNo
Authorized OfficialBeatrice NkwelleAprn · (281) 731-2169
Enumeration DateJune 11, 2026
NPPES CertifiedJune 11, 2026
✔ NPI 1598699837 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
31406 FM 2920 RD STE B102V, Waller, TX 77484
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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

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 Vintage Therapeutics Inc's NPI number?

The NPI number for Vintage Therapeutics Inc is 1598699837. It was assigned to this organization in the NPPES registry on June 11, 2026.

Where is Vintage Therapeutics Inc located?

Vintage Therapeutics Inc is located at 31406 Fm 2920 Rd Ste B102v, Waller, TX 77484. The listed phone number is (281) 731-2169.

What is Vintage Therapeutics Inc's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

When was this NPI record last updated?

The NPPES record for Vintage Therapeutics Inc was last updated on June 11, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.