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NPI Code Detail

MEDICARE: ROSALIE TUMAMBING RN

MEDICARE: ROSALIE TUMAMBING RN
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
1163W00000XRegistered Nurse787097TX

General Provider Information

NPI Number : 1821414905
Entity Type Code : Individual
Provider Name (Legal Business Name) : ROSALIE TUMAMBING RN
Provider Business Mailing Address
First Line : 151 STEEPLE BRUSH CV
Second Line :
City : KYLE
State : TX
Zip : 78640-6307
Country : US
Telephone Number : 512-262-7351
Fax Number :
Provider Business Practice Location Address
First Line : 403 E 15TH ST
Second Line :
City : AUSTIN
State : TX
Zip : 78701-1437
Country : US
Telephone Number : 512-804-3526
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/12/2014
Last Update Date : 03/12/2014

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