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NPI Code Detail

MEDICARE: TIMELY TELEHEALTH, LLC

MEDICARE: TIMELY 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
1207P00000XEmergency Medicine PhysicianM7942TX
22084P0800XPsychiatry Physician
3101YP2500XProfessional Counselor

General Provider Information

NPI Number : 1770016909
Entity Type Code : Organization
Provider Name (Legal Business Name) : TIMELY TELEHEALTH, LLC
Provider Business Mailing Address
First Line : 1315 S ADAMS ST
Second Line :
City : FORT WORTH
State : TX
Zip : 76104-4404
Country : US
Telephone Number : 833-484-6359
Fax Number :
Provider Business Practice Location Address
First Line : 1315 S ADAMS ST
Second Line :
City : FORT WORTH
State : TX
Zip : 76104-4404
Country : US
Telephone Number : 833-484-6359
Fax Number :
Authorized Official
Title or Position : CMO
Name : DR. JAMES DENNINGTON
Credential : MD
Telephone Number : 214-208-2125
Provider Enumeration Date : 04/05/2017
Last Update Date : 02/13/2023

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Directions to “TIMELY TELEHEALTH, LLC ” Practice Location

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