Organization
THOMAS E. TESKE, M.D., INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. THOMAS E. TESKE M.D. (PRESIDENT)
(760) 337-4100
Entity
Organization
Contact information
Practice address
1745 SOUTH IMPERIAL AVENUE, SUITE 101, EL CENTRO, CA 92243-4243
(760) 337-4100
(760) 337-4101
Mailing address
1745 SOUTH IMPERIAL AVENUE, SUITE 101, EL CENTRO, CA 92243-4243
(760) 337-4100
(760) 337-4101
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
G65518
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G655181
—
CA
Enumeration date
11/17/2010
Last updated
11/17/2010
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