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NPI Code Detail

MEDICARE: LESLIE IRALY TALAMANTES NP

MEDICARE: LESLIE IRALY TALAMANTES NP
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
1363LF0000XFamily Nurse Practitioner1167834TX

General Provider Information

NPI Number : 1588516512
Entity Type Code : Individual
Provider Name (Legal Business Name) : LESLIE IRALY TALAMANTES NP
Provider Business Mailing Address
First Line : 7112 COPPER TOWN DR
Second Line :
City : EL PASO
State : TX
Zip : 79934-3421
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 7451 PASEO DEL NORTE STE A2
Second Line :
City : EL PASO
State : TX
Zip : 79911-3158
Country : US
Telephone Number : 915-540-2306
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/11/2026
Last Update Date : 02/11/2026

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