Provider Demographics
NPI:1881297877
Name:THE VIRTUAL PRIMARY-CARE CONNECTION, LLC
Entity type:Organization
Organization Name:THE VIRTUAL PRIMARY-CARE CONNECTION, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO/FOUNDER
Authorized Official - Prefix:DR
Authorized Official - First Name:RICHARD
Authorized Official - Middle Name:WENDELL
Authorized Official - Last Name:WALKER,
Authorized Official - Suffix:JR
Authorized Official - Credentials:MD, MBA
Authorized Official - Phone:832-622-1624
Mailing Address - Street 1:363 N. SAM HOUSTON PKWY E.
Mailing Address - Street 2:SUITE 1100 (C/O LARRY TEW)
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77060
Mailing Address - Country:US
Mailing Address - Phone:832-622-1624
Mailing Address - Fax:
Practice Address - Street 1:15201 E. FREEWAY SERVICE RD. SUITE #103
Practice Address - Street 2:SUIT 103
Practice Address - City:CHANNELVIEW,
Practice Address - State:TX
Practice Address - Zip Code:77530
Practice Address - Country:US
Practice Address - Phone:832-312-6435
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:WALKER HEALTH CARE HOLDINGS, INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2020-11-20
Last Update Date:2020-11-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty