Provider Demographics
NPI:1356358121
Name:TALAMAS, EMILIA (MD)
Entity type:Individual
Prefix:DR
First Name:EMILIA
Middle Name:
Last Name:TALAMAS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11167 LA QUINTA PL
Mailing Address - Street 2:
Mailing Address - City:EL PASO
Mailing Address - State:TX
Mailing Address - Zip Code:79936-5221
Mailing Address - Country:US
Mailing Address - Phone:915-591-4453
Mailing Address - Fax:915-591-2031
Practice Address - Street 1:11167 LA QUINTA PLACE
Practice Address - Street 2:
Practice Address - City:EL PASO
Practice Address - State:TX
Practice Address - Zip Code:79936
Practice Address - Country:US
Practice Address - Phone:915-591-4453
Practice Address - Fax:915-591-2031
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-02
Last Update Date:2017-08-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXL7576208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX160952102OtherTHSTEPS
TX160952101Medicaid
TX160952101Medicaid