Tom S Talbert Md Pllc | |
3006 Mcniel Ave Wichita Falls TX 76309-4954 | |
(940) 696-7511 | |
Not Available |
Full Name | Tom S Talbert Md Pllc |
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Speciality | Family Medicine |
Location | 3006 Mcniel Ave, Wichita Falls, Texas |
Authorized Official Name and Position | Tom S Talbert (OWNER/SOLE MEMBER) |
Authorized Official Contact | 9406426273 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Tom S Talbert Md Pllc Po Box 331 Wichita Falls TX 76307-0331 Ph: (940) 642-6273 | Tom S Talbert Md Pllc 3006 Mcniel Ave Wichita Falls TX 76309-4954 Ph: (940) 696-7511 |
NPI Number | 1881125656 |
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Provider Enumeration Date | 03/23/2017 |
Last Update Date | 03/23/2017 |
Medicare PECOS PAC ID | 0345527446 |
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Medicare Enrollment ID | O20170427000483 |
Identifier | Type | State | Issuer |
---|---|---|---|
1881125656 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Provider Name | Tom S Talbert |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1366420333 PECOS PAC ID: 9436236148 Enrollment ID: I20090316000645 |
Provider Name | Krysla B Darden |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1821548843 PECOS PAC ID: 9739462284 Enrollment ID: I20170208002354 |
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