Organization
IDOC VIRTUAL NEURO CRITICAL CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EVETTE LEWIS (PRACTICE MANAGER)
(503) 421-5124
Entity
Organization
Contact information
Practice address
1133 EAGLES LANDING PKWY, STOCKBRIDGE, GA 30281-5085
(713) 913-1422
Mailing address
4635 SOUTHWEST FWY STE 525, HOUSTON, TX 77027-7157
(713) 234-4431
(877) 712-5707
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
207LC0200X
Critical Care Medicine (Anesthesiology) Physician
—
—
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
—
—
363LC0200X
Critical Care Medicine Nurse Practitioner
—
—
Other
Enumeration date
09/15/2020
Last updated
08/21/2024
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us