Organization
PWN REMOTE CARE SERVICES, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRANTLEY TILMAN JOLLY MD (PRESIDENT, SECRETARY, AND TREASURER)
(888) 362-4321
Entity
Organization
Contact information
Practice address
823 CONGRESS AVE STE 1200, AUSTIN, TX 78701-2402
(888) 362-4321
Mailing address
823 CONGRESS AVE STE 1200, AUSTIN, TX 78701-2402
(888) 362-4321
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
—
Other
Enumeration date
10/05/2020
Last updated
02/16/2023
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