Mark C. Vital MD

NPI 1073515912 - Specialist - 174400000X

NPI Details
NPI 1073515912
Gender Male
Enumeration Date 08/11/2005
Last Updated 09/02/2014
Entity Type Individual
Active Over 11 years ago
Practice Location
2855 GRAMERCY ST
HOUSTON TX, 77025-1635, US
Phone (713) 668-6828
Fax (713) 395-1666
Business Location
7155 OLD KATY RD
SUITE N100
HOUSTON TX, 77024-2134, US
Phone (713) 668-6828
Fax (832) 280-3636
Toxanomy
Taxonomy Code 174400000X
License State Texas
License Number K5422
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According to our database, Dr. Mark C. Vital MD NPI is 1073515912, taxonomy code is 174400000X and license number is K5422, license state is located at Texas. Mark C. Vital MD physically located at 2855 Gramercy St, Houston TX, 77025-1635. NPI Number Mark C. Vital MD has the Individual type.

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1073515912 NPI number is provided on an as is basis without warranty of any kind. 1073515912 is maintained by the National Plan & Provider Enumeration System. The contents of Mark C. Vital MD are for informational purposes only.