Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Medsur One Telemedicine LLC

Organization Nurse Practitioner · NPI 1568098937

Medsur One Telemedicine LLC is a Nurse Practitioner in Georgetown, Texas. Registered with an NPI since 2020.

In the registry since
2020
Specialties on file
3
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

110 Eisenhower Court (administrative Ofc Location) 1309 Coffeen Ave Ste 1200 Sheridan WY 82801
Georgetown, TX 78633
Phone: (307) 655-1666
Fax: (512) 651-4666
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X
Adult Health Nurse Practitioner Taxonomy 363LA2200X
Gerontology Nurse Practitioner Taxonomy 363LG0600X

Record details

NPI number1568098937
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kathleen McCoy — Manager · (512) 364-2151
NPI enumeratedMarch 18, 2020
Last updated in NPPESMarch 18, 2020
Certification dateMarch 18, 2020
Mailing address1309 Coffeen Avenue Ste 1200, Sheridan, WY 82801

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