Individual
BRENDA J. TALLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
7703 FLOYD CURL DR FL 7, SAN ANTONIO, TX 78229-3901
(210) 450-6440
(210) 450-2104
Mailing address
7703 FLOYD CURL DR FL 7, SAN ANTONIO, TX 78229-3901
(210) 450-6440
(210) 450-2104
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
G8395
TX
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
G8395
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
040922901
—
TX
01
—
040922902
CIDC
TX
Enumeration date
08/01/2006
Last updated
02/14/2023
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