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NPI Code Detail

MEDICARE: DR. NATALIE TOLBERT-BORNSTEIN MD

MEDICARE: DR. NATALIE TOLBERT-BORNSTEIN MD
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
1207R00000XInternal Medicine PhysicianG1563TX

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
487T505OTHERTXMEDICARE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1TXB152437OTHERTXWELLMED PTAN
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1508860198
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. NATALIE TOLBERT-BORNSTEIN MD
Provider Business Mailing Address
First Line : 2260 TRAWOOD DR
Second Line :
City : EL PASO
State : TX
Zip : 79935-3040
Country : US
Telephone Number : 915-591-4632
Fax Number : 915-591-4069
Provider Business Practice Location Address
First Line : 2260 TRAWOOD DR
Second Line :
City : EL PASO
State : TX
Zip : 79935-3040
Country : US
Telephone Number : 915-591-4632
Fax Number : 915-591-4069
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/10/2005
Last Update Date : 12/21/2015

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