Healthcare Provider Details

I. General information

NPI: 1255245429
Provider Name (Legal Business Name): DRG TELEHEALTH GROUP, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/02/2026
Last Update Date: 10/02/2026
Certification Date: 09/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

197 TWIN PINES CIRCLE
RUSSELLVILLE AL
35654
US

IV. Provider business mailing address

PO BOX 836
RUSSELLVILLE AL
35653-0836
US

V. Phone/Fax

Practice location:
  • Phone: 972-998-1290
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QU0200X
TaxonomyUrgent Care Clinic/Center
License Number
License Number StateNULL

VIII. Authorized Official

Name: RYAN GREGORIO
Title or Position: MEMBER
Credential: MD
Phone: 972-998-1290