# DR. CRYSTAL IRENE TALLMAN

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1972881654
- **Gender:** F
- **Credential:** D.O.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | OS17129 | FL | — |
| 207V00000X | Obstetrics & Gynecology Physician | R5042 | TX | — |
| 207V00000X | Obstetrics & Gynecology Physician | R5046 | TX | Yes |

## Other

- **Enumeration date:** 07/28/2011
- **Last updated:** 08/04/2021

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | OS17129 | — | FL |
