Organization
ALPHATELEMEDTEXAS
Active
Other names
AlphatelemedTexas, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MUBIN JIWANI (OWNER)
(703) 589-9964
Entity
Organization
Contact information
Practice address
11615 ANGUS RD STE 104R, AUSTIN, TX 78759-4146
(703) 589-9964
(571) 252-7100
Mailing address
10622 RUNAWAY LN, GREAT FALLS, VA 22066-2420
(703) 589-9964
(571) 252-7100
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
11/13/2020
Last updated
07/03/2024
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