Provider Demographics
NPI:1487095147
Name:1800TELEMEDCOM INC
Entity type:Organization
Organization Name:1800TELEMEDCOM INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CEO ADMINISRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:MARIA
Authorized Official - Middle Name:B
Authorized Official - Last Name:BIBBS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:713-691-7735
Mailing Address - Street 1:5815 AIRLINE DR
Mailing Address - Street 2:SUITE A-1
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77076-4922
Mailing Address - Country:US
Mailing Address - Phone:713-691-7735
Mailing Address - Fax:866-924-6348
Practice Address - Street 1:5815 AIRLINE DR
Practice Address - Street 2:SUITE A-1
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77076-4922
Practice Address - Country:US
Practice Address - Phone:713-691-7735
Practice Address - Fax:866-924-6348
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-07-10
Last Update Date:2013-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX207QA0505X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207QA0505XAllopathic & Osteopathic PhysiciansFamily MedicineAdult MedicineGroup - Multi-Specialty