Organization
TELEHEALTH WELLNESS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEFFREY J GUILLORY JR. DNP (PRESIDENT)
(409) 877-1773
Entity
Organization
Contact information
Practice address
837 N MAIN ST SPC 118, LUMBERTON, TX 77657-1018
(409) 877-1773
Mailing address
837 N MAIN ST SPC 118, LUMBERTON, TX 77657-1018
(409) 877-1773
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Enumeration date
08/16/2022
Last updated
08/16/2022
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