Organization Name: | TEJAS VISITING PHYSICIANS, LLC. |
NPI Number: | 1407215122 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | ALLISON SMOOT (CEO) |
Mailing Address: | 2795 Bulverde Rd Ste A Bulverde |
State: | TX US |
Postal Code: | 781632195 |
Phone Number: | 2103657987 |
Fax Number: | |
NPI Enumeration Date: | 02/23/2016 |
NPI Last Update Date: | 02/23/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QP2300X |
License Number: | L6877 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TX |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Primary Care |
Taxonomy Definition: |