Provider Demographics
NPI:1568100634
Name:WE CARE TELEMED LLC
Entity Type:Organization
Organization Name:WE CARE TELEMED LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:KARA
Authorized Official - Middle Name:
Authorized Official - Last Name:LAXSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:512-876-8339
Mailing Address - Street 1:25467 ROCKFORD ST
Mailing Address - Street 2:
Mailing Address - City:HEMET
Mailing Address - State:CA
Mailing Address - Zip Code:92544-1720
Mailing Address - Country:US
Mailing Address - Phone:512-876-8339
Mailing Address - Fax:
Practice Address - Street 1:25467 ROCKFORD ST
Practice Address - Street 2:
Practice Address - City:HEMET
Practice Address - State:CA
Practice Address - Zip Code:92544-1720
Practice Address - Country:US
Practice Address - Phone:512-876-8339
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:KL LIFERXMD LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2022-05-26
Last Update Date:2022-05-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty