| Tx Telehealth Pllc | |
|
2702 E 5th St # 837 Tyler TX 75701-5021 | |
| (903) 213-5515 | |
| Not Available |
| Full Name | Tx Telehealth Pllc |
|---|---|
| Speciality | Family Medicine |
| Location | 2702 E 5th St # 837, Tyler, Texas |
| Authorized Official Name and Position | Wesley Pemberton (DIRECTOR) |
| Authorized Official Contact | 9035041000 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Tx Telehealth Pllc 602 Bridle Ridge Dr Tyler TX 75703-5874 Ph: (903) 504-1000 | Tx Telehealth Pllc 2702 E 5th St # 837 Tyler TX 75701-5021 Ph: (903) 213-5515 |
| NPI Number | 1245986090 |
|---|---|
| Provider Enumeration Date | 03/01/2022 |
| Last Update Date | 09/27/2024 |
| Medicare PECOS PAC ID | 0648659342 |
|---|---|
| Medicare Enrollment ID | O20220627003438 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245986090 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Wesley E Pemberton |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1972752954 PECOS PAC ID: 1052442985 Enrollment ID: I20100622000043 |
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