Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Vintage Family Medicine and Pediatrics

Organization Family Medicine Physician · NPI 1154945384

Vintage Family Medicine and Pediatrics is a Family Medicine Physician in Lewisville, Texas. Registered with an NPI since 2020.

In the registry since
2020

Practice location Address checks out

860 Hebron Pkwy Ste 201
Lewisville, TX 75057-5143
Phone: (972) 296-7200
Fax: (214) 730-4281
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X

Record details

NPI number1154945384
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Margaret Martinez — Practice Administrator · (469) 206-2630
NPI enumeratedJune 3, 2020
Last updated in NPPESApril 7, 2021
Certification dateApril 7, 2021
Mailing address860 Hebron Pkwy Ste 201, Lewisville, TX 75057-5143

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