Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111NN0400X | Neurology | 6786 | TX |
NPI | 1518096676 |
---|---|
Provider Name | Dr. Fili Talamantez |
First Address | Brownsville, TX 78521-4229 |
Second Address | Brownsville, TX 78521-4229 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 05/03/2007 |
Last Update Date | 31/10/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
U57260 | (02) | TX |