Healthcare Provider Details

I. General information

NPI: 1679869218
Provider Name (Legal Business Name): RESOLUTE HEALTH PHYSICIANS NETWORK INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/22/2011
Last Update Date: 06/23/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

66 GRUENE PARK DR SUITE 210
NEW BRAUNFELS TX
78130-2460
US

IV. Provider business mailing address

301 MAIN PLZ STE 195
NEW BRAUNFELS TX
78130-5136
US

V. Phone/Fax

Practice location:
  • Phone: 615-665-6000
  • Fax: 615-665-6197
Mailing address:
  • Phone: 866-819-2816
  • Fax: 830-632-6568

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code207RE0101X
TaxonomyEndocrinology, Diabetes & Metabolism Physician
License Number
License Number State

VIII. Authorized Official

Name: MRS. TESS COODY
Title or Position: CEO
Credential:
Phone: 830-387-5450