Organization
DONALD TALLACKSON MD
Active
Organization
DONALD TALLACKSON MD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DONALD TALLACKSON (PRESIDENT)
(713) 464-9621
Entity
Organization
Contact information
Practice address
921 GESSNER RD, HOUSTON, TX 77024-2501
(713) 932-3019
Mailing address
12335 KINGSRIDE LN, STE 339, HOUSTON, TX 77024-4116
(713) 464-9621
(713) 464-3284
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
J5919
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0039EN
BLUE CROSS BLUE SHIELD
—
05
—
1305062-05
—
TX
Enumeration date
11/20/2007
Last updated
12/03/2010
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up