| Tico Telehealth Inc. | |
|
4624 Fort Crockett Blvd Galveston TX 77551 | |
| (512) 775-5779 | |
| Not Available |
| Full Name | Tico Telehealth Inc. |
|---|---|
| Speciality | Clinic/center - Multi-specialty |
| Location | 4624 Fort Crockett Blvd, Galveston, Texas |
| Authorized Official Name and Position | Lisa Bibby (CEO) |
| Authorized Official Contact | 5127755779 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Tico Telehealth Inc. 7300 Remcon Cir Ste 200 El Paso TX 79912-1647 Ph: (915) 532-3600 | Tico Telehealth Inc. 4624 Fort Crockett Blvd Galveston TX 77551 Ph: (512) 775-5779 |
| NPI Number | 1588101208 |
|---|---|
| Provider Enumeration Date | 01/20/2017 |
| Last Update Date | 01/20/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588101208 | NPI | - | NPPES |
| H9088 | Other | TX | LICENSE |
| 120358001 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
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