Provider Demographics
NPI:1144805987
Name:VIGOR INTEGRATED HEALTH SERVICES PLLC
Entity Type:Organization
Organization Name:VIGOR INTEGRATED HEALTH SERVICES PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:MR
Authorized Official - First Name:MARCUS
Authorized Official - Middle Name:
Authorized Official - Last Name:RICHARDSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:214-960-5690
Mailing Address - Street 1:13351 LEESON LN
Mailing Address - Street 2:
Mailing Address - City:FRISCO
Mailing Address - State:TX
Mailing Address - Zip Code:75035-0802
Mailing Address - Country:US
Mailing Address - Phone:469-471-2091
Mailing Address - Fax:208-460-7610
Practice Address - Street 1:13351 LEESON LN
Practice Address - Street 2:
Practice Address - City:FRISCO
Practice Address - State:TX
Practice Address - Zip Code:75035-0802
Practice Address - Country:US
Practice Address - Phone:469-471-2091
Practice Address - Fax:208-460-7610
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-03-12
Last Update Date:2023-09-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty