Organization
TELEMEDVIP PHYSICIAN GROUP, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. THOMAS F UPDIKE JR. PHD (MANAGER)
(713) 452-1873
Entity
Organization
Contact information
Practice address
1011 AUGUSTA DR STE 102, HOUSTON, TX 77057-2035
(713) 452-1873
Mailing address
1011 AUGUSTA DR STE 102, HOUSTON, TX 77057-2035
(713) 452-1873
Taxonomy
Speciality
Code
Description
License number
State
405300000X
Prevention Professional
Primary
—
—
Other
Enumeration date
05/07/2018
Last updated
05/07/2018
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