TICO TELEHEALTH INC.


Address: 4624 Fort Crockett Blvd, Galveston, TX 77551
Phone: 5127755779

TICO TELEHEALTH INC. (NPI# 1588101208) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1588101208
Entity Type Organization
Organization Name TICO TELEHEALTH INC.
Practice Address 4624 Fort Crockett Blvd
Galveston
TX 77551
Mailing Address 7300 Remcon Cir Ste 200
El Paso
TX 79912-1647
Practice Telephone 5127755779
Mailing Telephone 9155323600
Enumeration Date 2017-01-20
Last Update Date 2017-01-20
Authorized Official Name MS. LISA BIBBY (CEO)
Authorized Official Telephone 5127755779
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QM1300X Clinic/Center
Specialization: Multi-Specialty
Ambulatory Health Care Facilities

Other Provider Identifier

State Issuer Identifier Type Code
TX LICENSE H9088 01
TX 120358001 05

Office Location

Street Address 4624 FORT CROCKETT BLVD
City GALVESTON
State TX
Zip Code 77551

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Taxonomy Information

Taxonomy Code 261QM1300X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Multi-Specialty

Taxonomy Definition

Definition to come...

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NPI Name Taxonomy Address Enumeration
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Competitor

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City GALVESTON
Zip Code 77551

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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