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TELACLINIC NPI 1114244704


NPI Information

NPI: 1114244704
Provider Name: TELACLINIC
Classification: Family Medicine - 207QA0505X
Entity Type: Organization

Specialization: Adult Medicine

Address:
117 LANE DR
SUITE 2
ROSENBERG, TX
ZIP 77471
Phone: (281) 633-0148
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TELACLINIC is an adult medicine family medicine in Rosenberg, TX. The provider is the National Uniform Claim Committee (NUCC) recommends code 207QA0505X not be used. Choose a more appropriate code. TELACLINIC NPI is 1114244704. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

117 LANE DR
SUITE 2
ROSENBERG, TX
ZIP 77471-200
Phone: (281) 633-0148

The provider's authorized official is Walter Holmsten .
The authorized official title is President and has the following contact phone number (281) 633-0148.

The enumeration date for this NPI number is 4/23/2010 and was last updated on 4/23/2010.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207QA0505XFamily MedicineAdult MedicineL8734TEXASYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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