Provider Demographics
NPI:1962373803
Name:FIREWHEEL TELEMEDICINE, PLLC
Entity type:Organization
Organization Name:FIREWHEEL TELEMEDICINE, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER, FOUNDER, PROVIDER
Authorized Official - Prefix:
Authorized Official - First Name:KATIE
Authorized Official - Middle Name:
Authorized Official - Last Name:BRANDON
Authorized Official - Suffix:
Authorized Official - Credentials:APRN
Authorized Official - Phone:817-767-0922
Mailing Address - Street 1:2020 82ND ST STE 101
Mailing Address - Street 2:
Mailing Address - City:LUBBOCK
Mailing Address - State:TX
Mailing Address - Zip Code:79423-4342
Mailing Address - Country:US
Mailing Address - Phone:817-767-0922
Mailing Address - Fax:480-588-3093
Practice Address - Street 1:2020 82ND ST STE 101
Practice Address - Street 2:
Practice Address - City:LUBBOCK
Practice Address - State:TX
Practice Address - Zip Code:79423-4342
Practice Address - Country:US
Practice Address - Phone:817-767-0922
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-09-15
Last Update Date:2025-09-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084B0002XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyObesity MedicineGroup - Multi-Specialty