MEDICARE: VENMEX TELEHEALTH LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician

General Provider Information

NPI Number	:	1003649039
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	VENMEX TELEHEALTH LLC

Provider Business Mailing Address
First Line	:	7218 HARRISBURG BLVD
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77011-4737
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	3369 BUFORD HWY NE STE 820
Second Line	:
City	:	BROOKHAVEN
State	:	GA
Zip	:	30329-1742
Country	:	US
Telephone Number	:	470-531-1870
Fax Number	:

Authorized Official
Title or Position	:	MANAGER
Name	:	JOSE FLORES
Credential	:
Telephone Number	:	832-538-9188

Provider Enumeration Date	:	08/23/2024
Last Update Date	:	08/23/2024

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Directions to “VENMEX TELEHEALTH LLC ” Practice Location

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