Provider Demographics
NPI:1407281686
Name:TALABIS, FERNANDO FRANKLIN GUISON JR (PT)
Entity Type:Individual
Prefix:MR
First Name:FERNANDO FRANKLIN
Middle Name:GUISON
Last Name:TALABIS
Suffix:JR
Gender:M
Credentials:PT
Other - Prefix:MR
Other - First Name:FRANKLIN
Other - Middle Name:GUISON
Other - Last Name:TALABIS
Other - Suffix:JR
Other - Last Name Type:Professional Name
Other - Credentials:PT
Mailing Address - Street 1:12727 KIMBERLEY LN STE 104
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77024-4060
Mailing Address - Country:US
Mailing Address - Phone:713-365-9338
Mailing Address - Fax:713-430-4041
Practice Address - Street 1:3202 4TH ST STE 101
Practice Address - Street 2:
Practice Address - City:LONGVIEW
Practice Address - State:TX
Practice Address - Zip Code:75605-5143
Practice Address - Country:US
Practice Address - Phone:903-753-6635
Practice Address - Fax:903-753-1114
Is Sole Proprietor?:No
Enumeration Date:2013-09-06
Last Update Date:2019-07-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1235310225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist