Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Vine Family Medicine PLLC

Organization Family Medicine Physician · NPI 1407427420

Vine Family Medicine PLLC provides Family Medicine Physician services in Keller, Texas. Registered with an NPI since 2021.

In the registry since
2021
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

420 Johnson Rd Ste 304
Keller, TX 76248-3463
Phone: (817) 710-3040
Fax: (989) 200-4650
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X

Record details

NPI number1407427420
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Ochuele Odumosu — Medical Director · (817) 710-3040
NPI enumeratedJuly 9, 2021
Last updated in NPPESJuly 12, 2021
Certification dateJuly 12, 2021
Mailing address420 Johnson Rd Ste 304, Keller, TX 76248-3463

Other providers in Keller