Provider Demographics
NPI:1447756580
Name:PRECISE TELEHEALTH OF TEXAS PLLC
Entity Type:Organization
Organization Name:PRECISE TELEHEALTH OF TEXAS PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF TECHNICAL OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:GEORGE
Authorized Official - Middle Name:
Authorized Official - Last Name:TREMBLAY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:737-402-7045
Mailing Address - Street 1:22 W PADONIA RD STE C241
Mailing Address - Street 2:
Mailing Address - City:TIMONIUM
Mailing Address - State:MD
Mailing Address - Zip Code:21093-2237
Mailing Address - Country:US
Mailing Address - Phone:203-524-9871
Mailing Address - Fax:844-828-6164
Practice Address - Street 1:3705 DEL PAYNE LN
Practice Address - Street 2:
Practice Address - City:PFLUGERVILLE
Practice Address - State:TX
Practice Address - Zip Code:78660-4535
Practice Address - Country:US
Practice Address - Phone:203-524-9871
Practice Address - Fax:844-828-6164
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-04-05
Last Update Date:2023-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXTM0677208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral PracticeGroup - Multi-Specialty