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Organization
TELEMED OF TX LLC
Active
Organization
TELEMED OF TX LLC
Active
Other names
Telemed Of Texas
Organization subpart
No
Provider details
NPI number
Authorized official
PATRICK MICHAEL WHITFIELD NP (NURSE PRACTITIONER/OWNER)
(469) 463-0070
Entity
Organization
Contact information
Practice address
415 PENDALL DR, WYLIE, TX 75098-5564
(469) 463-0070
Mailing address
415 PENDALL DR, WYLIE, TX 75098-5564
(469) 463-0070
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
AP123975
TEXAS BOARD OF NURSING LICENSE
TX
Enumeration date
10/04/2018
Last updated
03/07/2023
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