VITALITY CLINICS OF EAST TEXAS, P.A. (NPI# 1508206442) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508206442 |
| Entity Type | Organization |
| Organization Name | VITALITY CLINICS OF EAST TEXAS, P.A. |
| Practice Address |
455 Rice Rd 102 Tyler TX 75703-3604 |
| Practice Telephone | 9035259432 |
| Practice Fax Number | 9035259455 |
| Mailing Telephone | 9035259432 |
| Mailing Fax Number | 9035259455 |
| Enumeration Date | 2013-06-25 |
| Last Update Date | 2013-06-25 |
| Authorized Official Name | DR. STEVEN KIP YODER (OWNER) |
| Authorized Official Telephone | 9035259432 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207QA0505X |
Family Medicine Specialization: Adult Medicine |
Allopathic & Osteopathic Physicians |
| Street Address |
455 RICE RD 102 |
| City | TYLER |
| State | TX |
| Zip Code | 75703-3604 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689718702 | Stephen C Spain | Family Medicine | 455 Rice Rd, Tyler, TX 75703 | 2007-02-20 |
| 1891190369 | Deubanks and Associates | Durable Medical Equipment & Medical Supplies | 455 Rice Rd, 106, Tyler, TX 75703-3604 | 2014-10-27 |
| 1447539457 | Jennifer Adams | Audiologist-Hearing Aid Fitter | 455 Rice Rd, Tyler, TX 75703-3604 | 2011-08-08 |
| 1669799037 | Delson E Eubanks | Hearing Instrument Specialist | 455 Rice Rd, Tyler, TX 75703-3604 | 2010-04-26 |
| 1851556443 | Suji White Md Pa | Internal Medicine | 455 Rice Rd, Suite 111, Tyler, TX 75703-3604 | 2008-07-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174155477 | Choice Supportive Care Team Inc. | Family Medicine | 4293 Kinsey Drive, Tyler, TX 75703 | 2020-02-05 |
| 1770052532 | Refinery Chiropractic LLC | Chiropractor | 16637 Old Jacksonville Hwy, Suite D, Tyler, TX 75703 | 2018-11-21 |
| 1215419353 | Deidre Lynn Fergason | Occupational Therapy Assistant | 3505 Old Jacksonville Hwy, Tyler, TX 75703 | 2018-09-05 |
| 1710473681 | Justin Taylor Ross | Dentist | 8938 S Broadway Ave Ste 380, Tyler, TX 75703 | 2018-07-03 |
| 1457843450 | Adam Tyler Barnes, Dds of Texas II, Pllc | Dentist | 8938 South Broadway, Ste 480, Tyler, TX 75703 | 2018-06-05 |
| 1083106462 | Integrity Health | Internal Medicine | 5605 Old Bullard Rd Ste B, Tyler, TX 75703 | 2018-06-01 |
| 1427572544 | Cody Wayne Graham | Pharmacist | 5415 S. Broadway Ave., Tyler, TX 75703 | 2017-07-31 |
| 1750805941 | Roger Bryan Chapman | Nurse Practitioner | 6115 New Copeland Rd, Tyler, TX 75703 | 2017-07-28 |
| 1427570084 | Darah Lynne Dahlem | Speech-Language Pathologist | 401 E. Front Street Ste 123, Tyler, TX 75703 | 2017-07-14 |
| 1194267468 | Herman Lester Hampton Jr. | Surgery | 5803 Regents Row, Tyler, TX 75703 | 2016-11-17 |
| Find all providers in zip 75703 | ||||
| Taxonomy Code | 207QA0505X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Specialization | Adult Medicine |
| Definition to come. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790873834 | Julie T Haygood Md Pa | Family Medicine | 3131 Troup Hwy, Tyler, TX 75701-8350 | 2006-10-11 |
| 1063485886 | Steven J Cohen | Family Medicine | 1327 Troup Hwy, Tyler, TX 75701-4443 | 2006-02-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720686496 | Hill Country Health Pllc | Family Medicine | 1010 Ranch Road 620 S Ste 107, Lakeway, TX 78734-5638 | 2020-10-14 |
| 1174139471 | Stacie Leann Herring | Family Medicine | 1300 Tx-107, La Villa, TX 78562 | 2020-09-22 |
| 1336753508 | Woodlands Diagnostic Clinic, Pa | Family Medicine | 9201 Pinecroft Dr Ste 200, Shenandoah, TX 77380-3889 | 2020-09-03 |
| 1932738465 | Arlington Integrative Medicine LLC | Family Medicine | 1420 N Cooper St Ste 109, Arlington, TX 76011-8530 | 2020-04-06 |
| 1396379772 | Heights Total Wellness Clinic, Pllc | Family Medicine | 1801 Durham Dr Ste 4, Houston, TX 77007-2272 | 2020-02-25 |
| 1063043271 | Katie Lianne Jubala | Family Medicine | 129 Park Place Cir, Iowa Park, TX 76367-1064 | 2020-01-28 |
| 1558909879 | Forrest Duane Giles | Family Medicine | 152 Mcvoid Rd, Springtown, TX 76082-5929 | 2019-12-17 |
| 1710525225 | Mary Osawe | Family Medicine | 1308 Winecup Ct, Allen, TX 75002-0983 | 2019-12-16 |
| 1609411735 | Sara E Bellard | Family Medicine | 4735 Ridgewood Ave, Port Arthur, TX 77642-6612 | 2019-11-13 |
| 1528600574 | Shearren Johnson | Family Medicine | 2162 Us Highway 259 S, Diana, TX 75640-3510 | 2019-10-10 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.