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NPI Code Detail

MEDICARE: TELE-PHYSICIANS, P.C.

MEDICARE: TELE-PHYSICIANS, P.C.
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
1207RC0200XCritical Care Medicine (Internal Medicine) Physician
22084P0800XPsychiatry Physician
32084V0102XVascular Neurology Physician
42084N0400XNeurology Physician

General Provider Information

NPI Number : 1053727404
Entity Type Code : Organization
Provider Name (Legal Business Name) : TELE-PHYSICIANS, P.C.
Provider Business Mailing Address
First Line : 2411 DULLES CORNER PARK STE 475
Second Line :
City : HERNDON
State : VA
Zip : 20171-5605
Country : US
Telephone Number : 800-762-9244
Fax Number : 786-672-6006
Provider Business Practice Location Address
First Line : 1717 MAIN ST STE 5850
Second Line :
City : DALLAS
State : TX
Zip : 75201-7317
Country : US
Telephone Number : 972-449-0540
Fax Number :
Authorized Official
Title or Position : DIRECTOR
Name : SARA VITULLO
Credential :
Telephone Number : 972-449-0540
Provider Enumeration Date : 07/07/2014
Last Update Date : 12/03/2024

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Directions to “TELE-PHYSICIANS, P.C. ” Practice Location

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