New Vitality Clinic
New Vitality Clinic is a Clinic/Center in Port Lavaca, Texas. Licensed in Texas. Registered with an NPI since 2014.
- Licensed in
- TX
- In the registry since
- 2014
Practice location Address checks out
1207 N Virginia StPort Lavaca, TX 77979-2506
Phone: (361) 746-1588
Fax: (361) 400-5310
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Clinic/Center (primary) | Taxonomy 261Q00000X (TX) |
|---|
Record details
| NPI number | 1285044057 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Gustavo Gross — Owner · (830) 491-2151 |
| NPI enumerated | May 2, 2014 |
| Last updated in NPPES | May 2, 2014 |
| Mailing address | 1207 N Virginia St, Port Lavaca, TX 77979-2506 |