TARUN MUNDLURU (NPI# 1831704873) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831704873 |
| Entity Type | Individual |
| Full Name | TARUN MUNDLURU |
| Practice Address |
Pecos Dental, 801 W 3rd St Pecos TX 79772 |
| Practice Telephone | 4324453333 |
| Mailing Telephone | 4324453333 |
| Enumeration Date | 2020-09-15 |
| Last Update Date | 2020-09-15 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223X2210X | 36718 | TX |
| Street Address |
PECOS DENTAL, 801 W 3RD ST |
| City | PECOS |
| State | TX |
| Zip Code | 79772 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194322032 | Flor Karime Jurado | Licensed Practical Nurse | 1410 Cowan Street, Pecos, TX 79772 | 2020-10-05 |
| 1962028902 | United Supermarkets, LLC | Pharmacy | 2783 S Cedar, Pecos, TX 79772 | 2020-06-24 |
| 1275053480 | Podiatric Medical Partners of Texas, Pa | Podiatrist | 2338 Texas St Ste B, Pecos, TX 79772 | 2017-06-20 |
| 1568597177 | Managed Care Pharmacy | Pharmacy | 721 S. Palm, Pecos, TX 79772 | 2007-02-22 |
| 1194168211 | James M Tarin | Family Medicine | 2323 Texas St, Pecos, TX 79772 | 2013-04-08 |
| 1447417209 | Reeves County Hospital District | Internal Medicine | 200 Meadowbrook Drive, Pecos, TX 79772 | 2008-05-20 |
| 1225258486 | Pecos-barstow-toya Isd | Local Education Agency (LEA) | 1414 Washington St, Pecos, TX 79772-0869 | 2007-04-27 |
| 1033400932 | H K A Corporation | Durable Medical Equipment & Medical Supplies | 1010 S Eddy St Ste D, Pecos, TX 79772-2524 | 2011-04-26 |
| 1457349953 | H K A Corporation | Durable Medical Equipment & Medical Supplies | 1010 S Eddy St, Suite A, Pecos, TX 79772-2524 | 2005-10-10 |
| 1831190842 | Jay Bob Haney | Chiropractor | 1309 W 3rd St, Pecos, TX 79772-2826 | 2005-08-02 |
| Find all providers in zip 79772 | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.