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MDTELA PROFESSIONAL LIMITED
NPI 1083299101
Clinic/Center - Primary Care in Streetman, TX

Active since March 10, 2021
160 SEPTEMBER DR, STREETMAN, TX 75859(931) 628-9210(562) 381-7291 Get Directions Write a Review

NPPES record last updated: March 10, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mdtela Professional Limited NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MDTELA PROFESSIONAL LIMITED (NPI 1083299101) is a healthcare organization registered as a primary care in Streetman, Texas and active in the NPI registry since March 2021. The organization lists Kimberly Tatum, Owner, as its authorized official.

NPPES Registry Identity

NPI1083299101
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameMDTELA PROFESSIONAL LIMITED
Location Address160 SEPTEMBER DRStreetman, TX 75859-3261
Mailing Address160 September DrStreetman, TX 75859-3261 · (931) 628-9210 · Fax (562) 381-7291
Phone(931) 628-9210
Fax(562) 381-7291
Organization SubpartNo
Authorized OfficialKimberly TatumOwner · (909) 599-2852
Enumeration DateMarch 10, 2021
NPPES CertifiedMarch 10, 2021
✔ NPI 1083299101 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
160 SEPTEMBER DR, Streetman, TX 75859
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas.Insurance ›

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DRAGONFLY TELEHEALTH, INC.
Clinic/Center
160 SEPTEMBER DR
STREETMAN, TX 75859
Freestone County (931) 628-9210
MDTELA
Family Medicine
160 SEPTEMBER DR
STREETMAN, TX 75859
Freestone County (833) 463-8352

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mdtela Professional Limited's NPI number?

The NPI number for Mdtela Professional Limited is 1083299101. It was assigned to this organization in the NPPES registry on March 10, 2021.

Where is Mdtela Professional Limited located?

Mdtela Professional Limited is located at 160 September Dr, Streetman, TX 75859. The listed phone number is (931) 628-9210.

What is Mdtela Professional Limited's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

What insurance does Mdtela Professional Limited accept?

Health plans from Blue Cross and Blue Shield of Texas list Mdtela Professional Limited as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Mdtela Professional Limited was last updated on March 10, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.