Individual
THERESE L TALBOT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1202 S TYLER ST, COVINGTON, LA 70433-2330
(337) 534-0952
Mailing address
PO BOX 123535, DEPT 3535, DALLAS, TX 75312-3535
(337) 534-0952
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
AP08381
LA
Other
Enumeration date
07/07/2015
Last updated
04/26/2017
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