Provider Demographics
NPI:1518096676
Name:TALAMANTEZ, FILI (DC, DACNB)
Entity Type:Individual
Prefix:DR
First Name:FILI
Middle Name:
Last Name:TALAMANTEZ
Suffix:
Gender:M
Credentials:DC, DACNB
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:302 KINGS HWY
Mailing Address - Street 2:SUITE 205
Mailing Address - City:BROWNSVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:78521-4229
Mailing Address - Country:US
Mailing Address - Phone:956-986-6100
Mailing Address - Fax:956-986-2999
Practice Address - Street 1:302 KINGS HWY
Practice Address - Street 2:SUITE 205
Practice Address - City:BROWNSVILLE
Practice Address - State:TX
Practice Address - Zip Code:78521-4229
Practice Address - Country:US
Practice Address - Phone:956-986-6100
Practice Address - Fax:956-986-2999
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-05
Last Update Date:2007-10-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX6786111NN0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111NN0400XChiropractic ProvidersChiropractorNeurology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXU57260Medicare UPIN
TX065220Medicare ID - Type Unspecified