Provider Demographics
NPI:1366945495
Name:AVAIL TELEMEDICINE, PLLC
Entity type:Organization
Organization Name:AVAIL TELEMEDICINE, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRACTICE ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:LEILA
Authorized Official - Middle Name:
Authorized Official - Last Name:VIIRAMONTES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:512-710-6271
Mailing Address - Street 1:PO BOX 6512
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78209-0512
Mailing Address - Country:US
Mailing Address - Phone:512-710-6271
Mailing Address - Fax:210-579-9223
Practice Address - Street 1:4801 BROADWAY ST UNIT 6512
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78209-7717
Practice Address - Country:US
Practice Address - Phone:512-710-6271
Practice Address - Fax:210-579-9223
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-03-15
Last Update Date:2018-03-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Single Specialty