| Telehealth Services Of Texas, Pa | |
|
12790 Merit Dr Ste 200 Dallas TX 75251-1276 | |
| (800) 893-9698 | |
| Not Available |
| Full Name | Telehealth Services Of Texas, Pa |
|---|---|
| Speciality | Family Medicine |
| Location | 12790 Merit Dr Ste 200, Dallas, Texas |
| Authorized Official Name and Position | Michael A Pawlowski (PRESIDENT) |
| Authorized Official Contact | 3376091221 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Telehealth Services Of Texas, Pa 200 Corporate Blvd Lafayette LA 70508-3870 Ph: (800) 893-9698 | Telehealth Services Of Texas, Pa 12790 Merit Dr Ste 200 Dallas TX 75251-1276 Ph: (800) 893-9698 |
| NPI Number | 1598375685 |
|---|---|
| Provider Enumeration Date | 08/04/2020 |
| Last Update Date | 07/19/2022 |
| Medicare PECOS PAC ID | 4082000815 |
|---|---|
| Medicare Enrollment ID | O20220405000336 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598375685 | NPI | - | NPPES |
| Provider Name | Stephen R Nichols |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1912955899 PECOS PAC ID: 7416933379 Enrollment ID: I20220428002627 |
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