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

Vintage Family Medicine and Pediatrics

Organization Family Medicine Physician · NPI 1154945384

Vintage Family Medicine and Pediatrics provides Family Medicine Physician services in Lewisville, Texas. Registered with an NPI since 2020.

In the registry since
2020

Practice location Address checks out

860 Hebron Pkwy Ste 201
Lewisville, TX 75057-5143
Phone: (972) 296-7200
Fax: (214) 730-4281
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X

Record details

NPI number1154945384
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Margaret Martinez — Practice Administrator · (469) 206-2630
NPI enumeratedJune 3, 2020
Last updated in NPPESApril 7, 2021
Certification dateApril 7, 2021
Mailing address860 Hebron Pkwy Ste 201, Lewisville, TX 75057-5143

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