Individual
TEDI PIANALTO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2006 SAGE CV, BULLARD, TX 75757-5622
(918) 607-1600
Mailing address
2006 SAGE CV, BULLARD, TX 75757-5622
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
Primary
RO133951
OK
Other
Enumeration date
01/23/2026
Last updated
01/23/2026
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