Provider Demographics
NPI:1699304659
Name:TELEMEDICONP PLLC
Entity type:Organization
Organization Name:TELEMEDICONP PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:BRUNA
Authorized Official - Middle Name:LYNN
Authorized Official - Last Name:SALAPONG
Authorized Official - Suffix:
Authorized Official - Credentials:NP
Authorized Official - Phone:512-969-7747
Mailing Address - Street 1:PO BOX 1024
Mailing Address - Street 2:
Mailing Address - City:LEANDER
Mailing Address - State:TX
Mailing Address - Zip Code:78646-1024
Mailing Address - Country:US
Mailing Address - Phone:512-991-2990
Mailing Address - Fax:
Practice Address - Street 1:801 S HIGHWAY 183 UNIT 1024
Practice Address - Street 2:
Practice Address - City:LEANDER
Practice Address - State:TX
Practice Address - Zip Code:78646-2439
Practice Address - Country:US
Practice Address - Phone:512-991-2990
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-04-02
Last Update Date:2020-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary CareGroup - Multi-Specialty