Organization Active NPI

Tico Telehealth Inc.

  • Multi-Specialty Clinic/Center
  • Galveston, TX
National Provider Identifier
1588101208
Registry record updated Jan 20, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X
Legal business name
TICO TELEHEALTH INC.
Practice address
4624 Fort Crockett Blvd
Galveston, TX 77551
Phone
(512) 775-5779
NPI assigned
Jan 20, 2017
Last updated
Jan 20, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 20, 2017

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

Authorized official

Name
Ms. Lisa Bibby
Title
Ceo
Phone
(512) 775-5779

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Multi-Specialty Clinic/Center 261QM1300X Primary

Addresses

Primary practice location

4624 Fort Crockett Blvd
Galveston, TX 77551

Mailing address

7300 Remcon Cir Ste 200
El Paso, TX 79912-1647
Phone (915) 532-3600

National Provider Directory

National Provider Directory

Locations

4624 Ft Crockett Blvd
Galveston, TX 77551
Phone (512) 775-5779

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": "1484870400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1484870400000",
    "number": "1588101208",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7300 REMCON CIR STE 200",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799121647",
            "telephone_number": "915-532-3600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4624 FORT CROCKETT BLVD",
            "city": "GALVESTON",
            "state": "TX",
            "postal_code": "77551",
            "telephone_number": "512-775-5779"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TICO TELEHEALTH INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-20",
        "last_updated": "2017-01-20",
        "status": "A",
        "authorized_official_last_name": "BIBBY",
        "authorized_official_first_name": "LISA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "512-775-5779",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Galveston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.