Telemedvip Physician Group, Pllc

NPI #1972092823 in Houston, Texas

Provider Information

NPI Number: 1972092823
Entity Type: Organization
Organization Name: Telemedvip Physician Group, Pllc
Primary Specialty: Prevention Professional
Enumeration Date: May 7, 2018
Last Updated: May 7, 2018

Practice Location

Address: 1011 AUGUSTA DR STE 102
City: Houston
State: Texas
ZIP Code: 77057-2035
Phone: (713) 452-1873

Authorized Official

Name: DR. THOMAS F UPDIKE JR., PHD
Title: MANAGER
Phone: (713) 452-1873

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Prevention Professional	405300000X	Primary

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