Provider Demographics
NPI:1194281659
Name:VNC REALHEALTH, PLLC
Entity type:Organization
Organization Name:VNC REALHEALTH, PLLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:VALENTINE
Authorized Official - Middle Name:C
Authorized Official - Last Name:UGWU
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:830-505-0760
Mailing Address - Street 1:612 S VINTON ST STE 101
Mailing Address - Street 2:
Mailing Address - City:PEARSALL
Mailing Address - State:TX
Mailing Address - Zip Code:78061-2245
Mailing Address - Country:US
Mailing Address - Phone:830-505-7509
Mailing Address - Fax:830-505-7513
Practice Address - Street 1:612 S VINTON ST STE 101
Practice Address - Street 2:
Practice Address - City:PEARSALL
Practice Address - State:TX
Practice Address - Zip Code:78061-2245
Practice Address - Country:US
Practice Address - Phone:830-505-7509
Practice Address - Fax:830-505-7513
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-02-20
Last Update Date:2023-05-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Multi-Specialty
No207QA0505XAllopathic & Osteopathic PhysiciansFamily MedicineAdult MedicineGroup - Multi-Specialty