| Organization Name: | VITAL HOUSECALL GROUP INC. |
| NPI Number: | 1790079887 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | NICHOLAS LAMARRE (OWNER) |
| Mailing Address: | 2617 Bolton Boone Dr Ste. B Desoto |
| State: | TX US |
| Postal Code: | 751152074 |
| Phone Number: | 9727091781 |
| Fax Number: | 9727097738 |
| NPI Enumeration Date: | 06/06/2011 |
| NPI Last Update Date: | 06/06/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | G6955 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | TX |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |