Provider Demographics
NPI:1851480768
Name:VITAL POINT CORPORATION
Entity type:Organization
Organization Name:VITAL POINT CORPORATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:ABDURRAHMAN
Authorized Official - Middle Name:DAWOOD
Authorized Official - Last Name:DELANGE
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:972-235-6099
Mailing Address - Street 1:3939 US HIGHWAY 80 E STE 254
Mailing Address - Street 2:
Mailing Address - City:MESQUITE
Mailing Address - State:TX
Mailing Address - Zip Code:75150-3359
Mailing Address - Country:US
Mailing Address - Phone:972-235-6099
Mailing Address - Fax:972-690-9320
Practice Address - Street 1:3939 US HWY 80 SUITE 254
Practice Address - Street 2:
Practice Address - City:MESQUITE
Practice Address - State:TX
Practice Address - Zip Code:75150
Practice Address - Country:US
Practice Address - Phone:972-235-6099
Practice Address - Fax:972-690-9320
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-11
Last Update Date:2024-06-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX251E00000X
251G00000X, 291U00000X
TXTX7001646251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No251G00000XAgenciesHospice Care, Community Based
No291U00000XLaboratoriesClinical Medical Laboratory
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX679241Medicare UPIN