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TELEMEDICINE ADVANTAGE CONCIERGE URGENT CARE NPI 1376165191


NPI Information

NPI: 1376165191
Provider Name: TELEMEDICINE ADVANTAGE CONCIERGE URGENT CARE
Classification: Pediatrics - 208000000X
Entity Type: Organization
Address:
4200 SOUTH FWY STE 100
FORT WORTH, TX
ZIP 76115
Phone: (817) 992-5551
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TELEMEDICINE ADVANTAGE CONCIERGE URGENT CARE is a pediatrics in Fort Worth, TX. The provider is a pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. TELEMEDICINE ADVANTAGE CONCIERGE URGENT CARE NPI is 1376165191. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

4200 SOUTH FWY STE 100
FORT WORTH, TX
ZIP 76115-407
Phone: (817) 992-5551
Fax: (817) 910-6120

The provider's authorized official is Michael R Cowan .
The authorized official title is Owner/medical Director and has the following contact phone number (817) 992-5551.

The enumeration date for this NPI number is 5/14/2020 and was last updated on 5/14/2020.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1208000000XPediatricsYes

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: 4/28/2024

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