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NPI Code Detail

MEDICARE: TELESIS/TRAYMORE

MEDICARE: TELESIS/TRAYMORE
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1314000000XSkilled Nursing Facility108673TX

General Provider Information

NPI Number : 1710945316
Entity Type Code : Organization
Provider Name (Legal Business Name) : TELESIS/TRAYMORE
Provider Business Mailing Address
First Line : 7602 CULCOURT ST
Second Line :
City : DALLAS
State : TX
Zip : 75209-3025
Country : US
Telephone Number : 214-358-3131
Fax Number : 214-358-0846
Provider Business Practice Location Address
First Line : 7602 CULCOURT ST
Second Line :
City : DALLAS
State : TX
Zip : 75209-3025
Country : US
Telephone Number : 214-358-3131
Fax Number : 214-358-0846
Authorized Official
Title or Position : BILLING MANAGER
Name : MS. KATHLEEN M PHAIRIS
Credential :
Telephone Number : 214-358-3131
Provider Enumeration Date : 05/03/2006
Last Update Date : 08/22/2020

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Directions to “TELESIS/TRAYMORE ” Practice Location

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