Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208100000X | Physical Medicine & Rehabilitation Doctor | P21526 | MD |
Y | 2081P2900X | Pain Medicine | N6704 | TX |
NPI | 1073654984 |
---|---|
Provider Name | Dr. Vincent Talosig |
First Address | Houston, TX 77090-2632 |
Second Address | Houston, TX 77090 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 12/02/2007 |
Last Update Date | 10/07/2018 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
P21526 | (02) | MD |