Pulluru Telemedicine Pllc

LBN: Walmart Health Ny Telemedicine Pllc
Pulluru Telemedicine Pllc is an health care organization with primary practice located at 702 Sw 8Th St # Ms 0215 , Bentonville AR 72716-6209. The organization recently has 9 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Behavioral Health & Social Service Providers / Psychologist, Behavioral Health & Social Service Providers / Social Worker, Behavioral Health & Social Service Providers / Marriage & Family Therapist, Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Psychiatry, Allopathic & Osteopathic Physicians / General Practice. Allopathic & Osteopathic Physicians / General Practice is the primary health care specialty. Walmart Health Ny Telemedicine Pllc can be contacted via phone (479) 258-2080, or through Shen, Mark via phone (512) 779-7276.

Contact Information

Primary practice address
702 Sw 8Th St # Ms 0215 Bentonville AR 72716-6209
Phone: (479) 258-2080
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Shen, Mark
Phone: (512) 779-7276

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X
Behavioral Health & Social Service Providers / Psychologist 103T00000X
Behavioral Health & Social Service Providers / Social Worker 104100000X
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X
Allopathic & Osteopathic Physicians / Pediatrics 208000000X
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X
Allopathic & Osteopathic Physicians / General Practice 208D00000X

Profile Details

NPI number 1417691353
LBN Legal business name Walmart Health Ny Telemedicine Pllc
DBA Doing business as Pulluru Telemedicine Pllc
Authorized official Shen, Mark
Entity Organization
Organization subpart 1 No
Enumeration date Apr 26th, 2022
Last updated Feb 13th, 2024 - about 10 months ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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