| Rufino G. Talatala, M.d., P.a. | |
|
4221 Medical Pkwy Bldg 200, Suite 250 Carrollton TX 75010 | |
| (972) 492-0333 | |
| (972) 394-6585 |
| Full Name | Rufino G. Talatala, M.d., P.a. |
|---|---|
| Speciality | Internal Medicine |
| Location | 4221 Medical Pkwy, Carrollton, Texas |
| Authorized Official Name and Position | Rufino Gerona Talatala (PRESIDENT) |
| Authorized Official Contact | 9724920333 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Rufino G. Talatala, M.d., P.a. 4221 Medical Pkwy Bldg 200, Suite 250 Carrollton TX 75010 Ph: (972) 492-0333 | Rufino G. Talatala, M.d., P.a. 4221 Medical Pkwy Bldg 200, Suite 250 Carrollton TX 75010 Ph: (972) 492-0333 |
| NPI Number | 1053596460 |
|---|---|
| Provider Enumeration Date | 01/03/2008 |
| Last Update Date | 09/17/2016 |
| Medicare PECOS PAC ID | 6800081068 |
|---|---|
| Medicare Enrollment ID | O20101112000880 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053596460 | NPI | - | NPPES |
| 008HD | Other | TX | BC/BS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | K8509 (Texas) | Primary |
| Provider Name | Rufino G Talatala |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1093824153 PECOS PAC ID: 2062607229 Enrollment ID: I20101112000899 |
| Provider Name | Grace H Castro-andres |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1851375422 PECOS PAC ID: 1759566052 Enrollment ID: I20110502000543 |
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