Organization
MEDICAL TELEPRESENCE PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARIO QUINTANILLA (AUTHORIZED OFFICIAL)
(713) 826-4600
Entity
Organization
Contact information
Practice address
5302 BELLAIRE BLVD, BELLAIRE, TX 77401-3904
(281) 786-0924
Mailing address
5302 BELLAIRE BLVD, BELLAIRE, TX 77401-3904
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
—
—
261QE0002X
Emergency Care Clinic/Center
—
—
261QU0200X
Urgent Care Clinic/Center
Primary
—
—
Other
Enumeration date
10/09/2018
Last updated
11/14/2024
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