Individual
MARIA VICTORIA TALAMO GUEVARA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1500 COOPER ST, FORT WORTH, TX 76104-2710
(682) 885-6299
Mailing address
PO BOX 733784, DALLAS, TX 75373-3784
(682) 885-1860
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
125062392
IL
2080P0214X
Pediatric Pulmonology Physician
Primary
R9549
TX
Other
Enumeration date
07/16/2012
Last updated
04/06/2021
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