Stockton Vitality, LLC
NPI #1316412372 in Fort Stockton, Texas
Provider Information
- NPI Number
- 1316412372
- Entity Type
- Organization
- Organization Name
- Stockton Vitality, LLC
- Primary Specialty
- Clinic/Center - Urgent Care
- Enumeration Date
- Oct 5, 2018
- Last Updated
- Dec 29, 2018
Practice Location
- Address
- 703 N MAIN ST
- City
- Fort Stockton
- State
- Texas
- ZIP Code
- 79735-5627
- Phone
- (432) 360-3029
Authorized Official
- Name
- MRS. SANDRA LOU SAUCEDA
- Title
- OWNER
- Phone
- (210) 430-0720
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Urgent Care — Urgent Care |
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