Vintage Primary Care, Pllc

NPI #1679036693 in Spring, Texas

Provider Information

NPI Number: 1679036693
Entity Type: Organization
Organization Name: Vintage Primary Care, Pllc
Primary Specialty: Home Health
Enumeration Date: Apr 8, 2019
Last Updated: Apr 8, 2019

Practice Location

Address: 201 PRUITT RD APT 430
City: Spring
State: Texas
ZIP Code: 77380-3167
Phone: (973) 640-0074

Authorized Official

Name: CHINYERE OBIAKWATA
Title: NP
Phone: (973) 640-0074

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Nursing Care	251J00000X
In Home Supportive Care	253Z00000X
Home Health	251E00000X	Primary

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