| Telemed Of Tx Llc | |
|
415 Pendall Dr Wylie TX 75098-5564 | |
| (469) 463-0070 | |
| Not Available |
| Full Name | Telemed Of Tx Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 415 Pendall Dr, Wylie, Texas |
| Authorized Official Name and Position | Patrick Michael Whitfield (NURSE PRACTITIONER/OWNER) |
| Authorized Official Contact | 4694630070 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Telemed Of Tx Llc 415 Pendall Dr Wylie TX 75098-5564 Ph: (469) 463-0070 | Telemed Of Tx Llc 415 Pendall Dr Wylie TX 75098-5564 Ph: (469) 463-0070 |
| NPI Number | 1477028579 |
|---|---|
| Provider Enumeration Date | 10/04/2018 |
| Last Update Date | 03/07/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477028579 | NPI | - | NPPES |
| AP123975 | Other | TX | TEXAS BOARD OF NURSING LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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