Healthcare Provider Details

I. General information

NPI: 1922739952
Provider Name (Legal Business Name): TELE-HEALTH URGENT CARE PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/21/2022
Last Update Date: 06/21/2022
Certification Date: 06/21/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1900 N EXPRESSWAY # 77B2
BROWNSVILLE TX
78521-1556
US

IV. Provider business mailing address

1900 N EXPRESSWAY # 77B2
BROWNSVILLE TX
78521-1556
US

V. Phone/Fax

Practice location:
  • Phone: 956-495-8658
  • Fax:
Mailing address:
  • Phone: 956-495-8658
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: MR. CARLOS VILLARREAL
Title or Position: ADMINISTRATOR
Credential:
Phone: 956-466-7221