Organization
FOREFRONT TELECARE MEDICAL SERVICES PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SARA VITULLO (DIRECTOR OF PAYER OPERATIONS)
(972) 449-0540
Entity
Organization
Contact information
Practice address
1627 QUARRIER ST, CHARLESTON, WV 25311-2124
(972) 449-0540
(972) 449-0542
Mailing address
1717 MAIN ST STE 5850, DALLAS, TX 75201-7317
(972) 449-0540
(972) 449-0542
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
—
—
Other
Enumeration date
04/18/2020
Last updated
07/23/2025
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