Dr Tarra Faulk, DO | |
3551 Roger Brooke Dr, Jbsa Ft Sam Houston, TX 78234-4504 | |
(210) 916-1455 | |
Not Available |
Full Name | Dr Tarra Faulk |
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Gender | Female |
Speciality | Internal Medicine - Nephrology |
Location | 3551 Roger Brooke Dr, Jbsa Ft Sam Houston, Texas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1467765370 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207R00000X | Internal Medicine | 67125 (Georgia) | Secondary |
207RN0300X | Internal Medicine - Nephrology | 67125 (Georgia) | Primary |
Entity Name | University Of Texas Health Science Center At San Antonio |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1720051717 PECOS PAC ID: 0042128548 Enrollment ID: O20040607000664 |
Mailing Address | Practice Location Address |
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Dr Tarra Faulk, DO 101 Bodin Cir, 60 Mdos Sgomk/nephrology, Travis Afb, CA 94535-1809 Ph: (707) 816-5930 | Dr Tarra Faulk, DO 3551 Roger Brooke Dr, Jbsa Ft Sam Houston, TX 78234-4504 Ph: (210) 916-1455 |
Dr. John-henry Dean, MD Nephrology Medicare: Medicare Enrolled Practice Location: 3551 Roger Brooke Dr, Jbsa Ft Sam Houston, TX 78234 Phone: 210-292-7805 Fax: 210-292-7868 | |
Dr. David Alton Lindholm, MD Nephrology Medicare: Medicare Enrolled Practice Location: 3551 Roger Brooke Dr, Jbsa Ft Sam Houston, TX 78234 Phone: 210-916-5554 | |
Kristin E Stoll, DO Nephrology Medicare: Medicare Enrolled Practice Location: 3551 Roger Brooke Dr, Jbsa Ft Sam Houston, TX 78234 Phone: 210-916-4808 Fax: 210-916-3366 | |
Ashkon Nehzati, DO Nephrology Medicare: Medicare Enrolled Practice Location: 3551 Roger Brooke Dr, Jbsa Ft Sam Houston, TX 78234 Phone: 210-916-0797 | |
Loreto Calaquian, M.D. Nephrology Medicare: Medicare Enrolled Practice Location: 3551 Roger Brooke Dr, Jbsa Ft Sam Houston, TX 78234 Phone: 210-916-5910 Fax: 210-916-2077 | |
Dr. Charles K Lin, MD Nephrology Medicare: Medicare Enrolled Practice Location: 3551 Roger Brooke Dr, Jbsa Ft Sam Houston, TX 78234 Phone: 210-916-0935 Fax: 210-916-3051 | |
Adam Jeffrey Kisling, MD Nephrology Medicare: Medicare Enrolled Practice Location: 3551 Roger Brooke Dr, Jbsa Ft Sam Houston, TX 78234 Phone: 816-752-3002 |