Teena Tambunga Dotson in San Angelo - Medical
Teena Tambunga Dotson - NPI 1063400737
Teena Tambunga Dotson is a Medical in San Angelo, Texas. Teena Tambunga Dotson practices all healthcare services and medical treatments related to Medical. The NPI Number for Teena Tambunga Dotson is 1063400737. The last update date is 2018-01-11.
Teena Tambunga Dotson's current location address is 2029 W Beauregard Ave, San Angelo, Texas. You can contact this provider via phone number 3256585339 and fax number 3259470101. The mailing address for Teena Tambunga Dotson is 2029 W Beauregard Ave, San Angelo, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Teena Tambunga Dotson |
|---|---|
| Address | 2029 W Beauregard Ave, San Angelo, Texas |
| Phone Number | 3256585339 |
| Fax Number | 3259470101 |
| Sole Proprietor | N |
| Credentials | PA |
NPI Number Detail
| NPI Number | 1063400737 |
|---|---|
| Provider Enumeration Date | 2005-10-07 |
| Last Updated Date | 2018-01-11 |
Provider Mailing Address Detail
| Address | 2029 W Beauregard Ave |
|---|---|
| City | San Angelo |
| State | Texas (TX) |
| Post Code | 769013812 |
| Phone Number | 3256585339 |
| Fax Number | 3259470101 |
Provider's Primary Taxonomy Detail
| Speciality | Medical |
|---|---|
| Taxonomy | 363Am0700X |
| Licence No | PA02850 |
|
Definition: A licensed healthcare professional who practices medicine under physician supervision focusing on medical diagnoses and treatment. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 111604802 | TX | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Teena Tambunga Dotson by the Centers for Medicare & Medicaid Services?
The Teena Tambunga Dotson has been issued the NPI (National Provider Identifier) 1063400737, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Teena Tambunga Dotson's physical address?
The Teena Tambunga Dotson is physically located at 2029 W Beauregard Ave, in the city of San Angelo, TX, with the postal code 769013812.
What is Teena Tambunga Dotson's area of expertise and its corresponding taxonomy classification?
The Teena Tambunga Dotson's field of specialization is Medical, and it falls under the taxonomy code 363Am0700X, which categorizes healthcare providers based on their areas of practice.
When did the Teena Tambunga Dotson receive its 1063400737?
The Teena Tambunga Dotson was issued its 1063400737 on 2005-10-07, which is the date when the organization was assigned this unique identifier.
When was the Teena Tambunga Dotson's information last updated?
The Teena Tambunga Dotson's information was last updated on 2018-01-11.