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NPI Code Detail

MEDICARE: DR. PEDRO P. TALOSIG M.D.

MEDICARE: DR. PEDRO P. TALOSIG M.D.
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
1207Q00000XFamily Medicine PhysicianF5387TX

Other Identifiers

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

General Provider Information

NPI Number : 1578684569
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. PEDRO P. TALOSIG M.D.
Provider Business Mailing Address
First Line : 402 S WINFREE ST
Second Line :
City : DAYTON
State : TX
Zip : 77535-2942
Country : US
Telephone Number : 936-258-2426
Fax Number : 936-258-2488
Provider Business Practice Location Address
First Line : 402 S WINFREE ST
Second Line :
City : DAYTON
State : TX
Zip : 77535-2942
Country : US
Telephone Number : 936-258-2426
Fax Number : 936-258-2488
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/03/2007
Last Update Date : 11/16/2007

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