Organization
TELE-PHYSICIANS, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MILAGROS WOODARD (VP, REVENUE CYCLE MANAGEMENT)
(972) 972-4673
Entity
Organization
Contact information
Practice address
2411 DULLES CORNER PARK STE 475, HERNDON, VA 20171-5605
(800) 762-9244
(786) 672-6006
Mailing address
2411 DULLES CORNER PARK STE 475, HERNDON, VA 20171-5605
(800) 762-9244
(786) 672-6006
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
—
—
207RP1001X
Pulmonary Disease Physician
—
—
2084N0400X
Neurology Physician
Primary
—
—
2084P0800X
Psychiatry Physician
—
—
2084V0102X
Vascular Neurology Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
103898472-0001
—
PA
05
—
110172640A
—
MA
05
—
1730599846-193200000
—
IA
05
—
2021167944
—
VA
05
—
4167207-01
—
TX
05
—
416720701
—
TX
05
—
417328801
—
TX
05
—
417343701
—
TX
05
—
4234148-01
—
TX
05
—
4235566-01
—
TX
05
—
4240996-01
—
TX
05
—
4261216-01
—
TX
05
—
495551
—
AZ
05
—
500102603
—
MO
05
—
9000193255
—
CO
Enumeration date
04/29/2014
Last updated
11/30/2022
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