MEDICARE: TELECARE EXPRESS

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	261QU0200X	Urgent Care Clinic/Center
2	261QP2300X	Primary Care Clinic/Center

General Provider Information

NPI Number	:	1942161518
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TELECARE EXPRESS

Provider Business Mailing Address
First Line	:	4539 N 22ND ST STE N
Second Line	:
City	:	PHOENIX
State	:	AZ
Zip	:	85016-4639
Country	:	US
Telephone Number	:	501-813-0879
Fax Number	:	501-300-1871

Provider Business Practice Location Address
First Line	:	4539 N 22ND ST STE N
Second Line	:	TELEHEALTH ONLY
City	:	PHOENIX
State	:	AZ
Zip	:	85016-4639
Country	:	US
Telephone Number	:	501-813-0879
Fax Number	:	501-300-1871

Authorized Official
Title or Position	:	CEO/PRESIDENT
Name	:	ROBERTA HENRY
Credential	:	APRN
Telephone Number	:	501-813-0879

Provider Enumeration Date	:	11/21/2025
Last Update Date	:	01/24/2026

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Directions to “TELECARE EXPRESS ” Practice Location

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