Organization
TELEHEALTH PHYSICIAN NETWORK, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HEATHER GERACIE RN (AVP CLINICAL EXCELLENCE)
(817) 242-0967
Entity
Organization
Contact information
Practice address
2900 WEST RD STE 500, EAST LANSING, MI 48823-6386
(833) 484-6359
Mailing address
1315 S ADAMS ST, FORT WORTH, TX 76104-4404
(833) 484-6359
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
—
—
207P00000X
Emergency Medicine Physician
—
—
207Q00000X
Family Medicine Physician
—
—
2084P0800X
Psychiatry Physician
Primary
—
—
Other
Enumeration date
02/13/2023
Last updated
06/30/2025
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