Provider Demographics
NPI:1851773956
Name:TALAKOUB, TARAH SHEREEN (DO)
Entity Type:Individual
Prefix:DR
First Name:TARAH
Middle Name:SHEREEN
Last Name:TALAKOUB
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:12606 W HOUSTON CENTER BLVD STE 260
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77082-2790
Mailing Address - Country:US
Mailing Address - Phone:713-596-8526
Mailing Address - Fax:713-596-8560
Practice Address - Street 1:10907 MEMORIAL HERMANN DR STE 380
Practice Address - Street 2:
Practice Address - City:PEARLAND
Practice Address - State:TX
Practice Address - Zip Code:77584-4115
Practice Address - Country:US
Practice Address - Phone:713-413-8100
Practice Address - Fax:713-413-8101
Is Sole Proprietor?:No
Enumeration Date:2015-06-24
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXT1861174400000X, 207K00000X
TXBP10053248207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207K00000XAllopathic & Osteopathic PhysiciansAllergy & Immunology
No174400000XOther Service ProvidersSpecialist
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXT1861OtherTX MEDICAL PERMIT
TXT1861OtherTX MEDICAL PERMIT