Telemedvip Physician Group, PLLC

Primary specialty

Prevention ProfessionalTaxonomy code 405300000X

Legal business name

TELEMEDVIP PHYSICIAN GROUP, PLLC

Practice address

1011 Augusta Dr Ste 102
Houston, TX 77057-2035

Phone

(713) 452-1873

NPI assigned

May 7, 2018

Organization subpart

No

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

Authorized official

Name

Dr. Thomas F Updike Jr., PHD

Title

Manager

Phone

(713) 452-1873

Specialties & licenses 1

Addresses

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/15168/brand/1/csg/1/fhir/r4

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

{
    "created_epoch": "1525651200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1525651200000",
    "number": "1972092823",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1011 AUGUSTA DR STE 102",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770572035",
            "telephone_number": "713-452-1873"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1011 AUGUSTA DR STE 102",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770572035",
            "telephone_number": "713-452-1873"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TELEMEDVIP PHYSICIAN GROUP, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-07",
        "last_updated": "2018-05-07",
        "status": "A",
        "authorized_official_last_name": "UPDIKE",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "713-452-1873",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "405300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Prevention Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Prevention Professional in Houston, TX
• Providers in Houston, TX by specialty
• Prevention Professional in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2018; 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.