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

Vitalis Specialty Group LLC

Organization Nurse Practitioner · NPI 1205675121

Vitalis Specialty Group LLC is a Nurse Practitioner in San Antonio, Texas. Registered with an NPI since 2024.

In the registry since
2024
Specialties on file
2
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

21411 US Highway 281 S
San Antonio, TX 78264-4824
Phone: (210) 844-7550
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X
Family Nurse Practitioner Taxonomy 363LF0000X

Record details

NPI number1205675121
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Andrew Vidal — Owner · (210) 844-7550
NPI enumeratedMay 21, 2024
Last updated in NPPESMay 21, 2024
Certification dateMay 21, 2024
Mailing address21411 Us Highway 281 S, San Antonio, TX 78264-4824

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