| NPI | 1073515912 |
|---|---|
| NPI Type | NPI-1 Individual |
| Status | Active |
| Enumeration Date | 2005-08-11 |
| Last Updated | 2021-03-22 |
| Mailing Address | 2855 Gramercy St # 400 Houston, TX 77025-1697 United States Phone: (713) 668-6828 📍 View Map |
| Primary Practice Address | 2855 Gramercy St Houston, TX 77025 United States Phone: (713) 668-6828 📍 View Map |
| Issuer | State | Number | Other Issuer |
|---|---|---|---|
| MEDICAID | TX | 145735001 | — |
| Primary | Taxonomy Code & Description | State | License Number |
|---|---|---|---|
| No | 207WX0120X – Ophthalmology, Cornea and External Diseases Specialist | TX | K5244 |
| Yes | 207W00000X – Ophthalmology | TX | K5422 |
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About NPI 1073515912
Mark C. Vital MD is a healthcare provider registered in the CMS NPPES NPI Registry with NPI number 1073515912. The primary specialty listed is Ophthalmology. The provider is located in Houston, TX. This NPI is classified as a Type 1 (Individual) NPI and is currently active. The NPI was first enumerated (assigned) on 2005-08-11. All data is sourced directly from the official CMS NPPES public API and is updated daily.
Frequently Asked Questions
What is NPI 1073515912?
NPI 1073515912 belongs to Mark C. Vital MD, a Ophthalmology in Houston, TX. It is a Type 1 Individual NPI registered in the CMS NPPES NPI Registry.
Is NPI 1073515912 active?
The current status of NPI 1073515912 in the NPPES registry is Active. The record was last updated on 2021-03-22.
What specialty is NPI 1073515912?
NPI 1073515912 is classified under the taxonomy Ophthalmology. Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.
How do I verify NPI 1073515912?
You can verify NPI 1073515912 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.
What address is on file for NPI 1073515912?
The primary practice address on file for NPI 1073515912 is 2855 Gramercy St, Houston, TX 77025. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.
When was NPI 1073515912 issued?
NPI 1073515912 was first issued (enumerated) on 2005-08-11. The NPPES record was last updated on 2021-03-22.
Practice Location Map
Mark C. Vital is located at 2855 Gramercy St, Houston, TX. Use the map below to find directions or verify the practice location.
Related Healthcare Providers
The following providers share the same practice location, specialty, or state as Mark C. Vital. All records sourced from the CMS NPPES registry.
License Information
The following state license numbers are on file in the NPPES registry for NPI 1073515912. For license status verification, contact the relevant state licensing board directly.
| Specialty / Taxonomy | License Number | State |
|---|---|---|
| Ophthalmology, Cornea and External Diseases Specialist | K5244 | TX |
| Ophthalmology | K5422 | TX |