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
Fax: (866) 771-0338
Website:

Health care specialties

SpecialtyCodeLicense #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 2 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1013979871 NPPES
Texas MEDICAID 159169501
Texas MEDICAID 159169504
Texas Other P00729257

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