Organization Active NPI

TX Telehealth PLLC

  • Family Medicine Physician
  • Whitehouse, TX
National Provider Identifier
1245986090
Registry record updated May 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
TX TELEHEALTH PLLC
Practice address
403 State Hwy 110 N
Whitehouse, TX 75791
Phone
(903) 213-5515
Fax
(888) 518-2562
NPI assigned
Mar 1, 2022
Last updated
May 29, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 29, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Wesley E Pemberton, MDNPI 1972752954
Title
Director
Phone
(903) 213-5515

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X NU Primary

Addresses

Primary practice location

403 State Hwy 110 N
Whitehouse, TX 75791

Mailing address

602 Bridle Ridge Dr
Tyler, TX 75703-5874
Phone (903) 213-5515

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220627003438 TX Part B Supplier - Clinic/Group Practice 0648659342 Receives reassigned benefits from 4 practitioners
Practice locations: Whitehouse, TX

National Provider Directory

National Provider Directory

Locations

403 State Highway 110 N
Whitehouse, TX 75791
Phone (903) 202-7002

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1646092800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1780012800000",
    "number": "1245986090",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "602 BRIDLE RIDGE DR",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757035874",
            "telephone_number": "903-213-5515",
            "fax_number": "888-518-2562"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "403 STATE HWY 110 N",
            "city": "WHITEHOUSE",
            "state": "TX",
            "postal_code": "75791",
            "telephone_number": "903-213-5515",
            "fax_number": "888-518-2562"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TX TELEHEALTH PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-01",
        "last_updated": "2026-05-29",
        "certification_date": "2026-05-29",
        "status": "A",
        "authorized_official_last_name": "PEMBERTON",
        "authorized_official_first_name": "WESLEY",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "903-213-5515",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Whitehouse, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.