Raymond, Tia Tortoriello
Raymond, Tia Tortoriello is an individual health care provider with primary practice located at 7777 Forest Ln , Dallas TX 75230-2571. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Cardiology, which is considered as her primary health care specialty. Raymond, Tia Tortoriello can be contacted via phone (972) 830-4342.Contact Information
Primary practice address
7777 Forest Ln
Dallas TX 75230-2571
Phone: (972) 830-4342
Fax: (866) 771-0338
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatric Cardiology | 2080P0202X | K4816 | Texas |
Profile Details
| NPI number | 1013979871 |
|---|---|
| LBN Legal business name | Raymond, Tia Tortoriello |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 5th, 2006 |
| Last updated | Jan 27th, 2022 - about 4 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1013979871 | NPPES |
| Texas | MEDICAID | 159169501 | |
| Texas | MEDICAID | 159169504 | |
| Texas | Other | P00729257 |
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