The Vintage

LBN: Avanti-Ayush, Llc
The Vintage is an health care organization with primary practice located at 237 W 21St St , Fort Stockton TX 79735-2536. The organization recently has only one registered license in Agencies / Case Management, which is considered as the primary health care specialty. Avanti-Ayush, Llc can be contacted via phone (432) 290-2510, or through Mallik, Subodh via phone (432) 290-2510.

Contact Information

Primary practice address
237 W 21St St Fort Stockton TX 79735-2536
Phone: (432) 290-2510
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Mallik, Subodh Doctor of Medicine (MD)
Phone: (432) 290-2510

Health care specialties

SpecialtyCodeLicense #State
Agencies / Case Management 251B00000X

Profile Details

NPI number 1992252431
LBN Legal business name Avanti-Ayush, Llc
DBA Doing business as The Vintage
Authorized official Mallik, Subodh Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Sep 1st, 2016
Last updated Sep 1st, 2016 - about 10 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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