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Organization
TELELIF LLC
Active
Organization
TELELIF LLC
Active
Other names
Lonestar Telemedicine
Organization subpart
No
Provider details
NPI number
Authorized official
JUSTIN TODD BAKER (CREDENTIALING)
(832) 799-2295
Entity
Organization
Contact information
Practice address
10817 W HIGHWAY 71, AUSTIN, TX 78735-9609
(512) 415-0693
Mailing address
10817 W HIGHWAY 71, AUSTIN, TX 78735-9609
(512) 415-0693
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
01/07/2019
Last updated
01/07/2019
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