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 |
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Provider Enumeration Date | 01/03/2008 |
Last Update Date | 09/17/2016 |
Medicare PECOS PAC ID | 6800081068 |
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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 |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1093824153 PECOS PAC ID: 2062607229 Enrollment ID: I20101112000899 |
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