Medsur One Telemedicine LLC

NPI #1568098937 in Georgetown, Texas

Provider Information

NPI Number
1568098937
Entity Type
Organization
Organization Name
Medsur One Telemedicine LLC
Primary Specialty
Nurse Practitioner
Enumeration Date
Mar 18, 2020
Last Updated
Mar 18, 2020

Practice Location

Address
110 EISENHOWER COURT (ADMINISTRATIVE OFFICE LOCATION)
Address 2
1309 COFFEEN AVE STE 1200 SHERIDAN WY 82801
State
Texas
ZIP Code
78633
Phone
(307) 655-1666

Authorized Official

Name
KATHLEEN MCCOY, NURSE PRACTITION
Title
MANAGER
Phone
(512) 364-2151

Specialties & Taxonomy Codes

Specialty
Nurse Practitioner - Adult HealthAdult Health
Nurse Practitioner - GerontologyGerontology
Nurse Practitioner

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