Thomas E. Teske, M.d., Inc | |
1745 South Imperial Avenue Suite 101 El Centro CA 92243-4243 | |
(760) 337-4100 | |
(760) 337-4101 |
Full Name | Thomas E. Teske, M.d., Inc |
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Speciality | Psychiatry & Neurology - Neurology |
Location | 1745 South Imperial Avenue, El Centro, California |
Authorized Official Name and Position | Thomas E. Teske (PRESIDENT) |
Authorized Official Contact | 7603374100 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Thomas E. Teske, M.d., Inc 1745 South Imperial Avenue Suite 101 El Centro CA 92243-4243 Ph: (760) 337-4100 | Thomas E. Teske, M.d., Inc 1745 South Imperial Avenue Suite 101 El Centro CA 92243-4243 Ph: (760) 337-4100 |
NPI Number | 1548562986 |
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Provider Enumeration Date | 11/17/2010 |
Last Update Date | 11/17/2010 |
Identifier | Type | State | Issuer |
---|---|---|---|
1548562986 | NPI | - | NPPES |
00G655181 | Medicaid | CA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084N0400X | Psychiatry & Neurology - Neurology | G65518 (California) | Primary |
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