Organization Active NPI

Medical Telepresence PA

  • Urgent Care Clinic/Center
  • Bellaire, TX
National Provider Identifier
1710452479
Registry record updated Nov 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
Legal business name
MEDICAL TELEPRESENCE PA
Practice address
5302 Bellaire Blvd
Bellaire, TX 77401-3904
Phone
(281) 786-0924
NPI assigned
Oct 9, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 14, 2024

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

Authorized official

Name
Mario Quintanilla
Title
Authorized Official
Phone
(713) 826-4600

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207P00000X
Emergency Care Clinic/Center 261QE0002X
Urgent Care Clinic/Center 261QU0200X Primary

Addresses

Primary practice location

5302 Bellaire Blvd
Bellaire, TX 77401-3904

Mailing address

5302 Bellaire Blvd
Bellaire, TX 77401-3904

National Provider Directory

National Provider Directory

Locations

5302 Bellaire Blvd
Bellaire, TX 77401
Phone (713) 660-0001

NPI Registry JSON

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

{
    "created_epoch": "1539043200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1731542400000",
    "number": "1710452479",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5302 BELLAIRE BLVD",
            "city": "BELLAIRE",
            "state": "TX",
            "postal_code": "774013904"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5302 BELLAIRE BLVD",
            "city": "BELLAIRE",
            "state": "TX",
            "postal_code": "774013904",
            "telephone_number": "281-786-0924"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICAL TELEPRESENCE PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-10-09",
        "last_updated": "2024-11-14",
        "certification_date": "2024-11-14",
        "status": "A",
        "authorized_official_last_name": "QUINTANILLA",
        "authorized_official_first_name": "MARIO",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "713-826-4600"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Emergency Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QE0002X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Emergency Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bellaire, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2024; 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.