Donald Tallackson MD

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

License

J5919 Issued in TX

Legal business name

DONALD TALLACKSON MD

Practice address

921 Gessner Rd
Houston, TX 77024-2501

Phone

(713) 932-3019

NPI assigned

Nov 20, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Donald Tallackson

Title

President

Phone

(713) 464-9621

Specialties & licenses 1

Addresses

Other identifiers 2

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1195516800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1291334400000",
    "number": "1669653465",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12335 KINGSRIDE LN",
            "address_2": "STE 339",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770244116",
            "telephone_number": "713-464-9621",
            "fax_number": "713-464-3284"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "921 GESSNER RD",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770242501",
            "telephone_number": "713-932-3019"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DONALD TALLACKSON MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-20",
        "last_updated": "2010-12-03",
        "status": "A",
        "authorized_official_last_name": "TALLACKSON",
        "authorized_official_first_name": "DONALD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "713-464-9621"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology",
            "state": "TX",
            "license": "J5919",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1305062-05",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "0039EN",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Donald L. Leass, MD, Faap, PA
• Donald M. Gibson MD PA
• Donald R. Watkins
• Donald S Hanser, MD PA
• Donald T. Lazarz, M.D., P.a.
• Donald Thigpen DC LLC
• Donald Trillos MD PA
• Donald W. Falknor
• Henry A. Donald III
• Tia Elizabeth Donald, DDS

• Anesthesiology Physician in Houston, TX
• Providers in Houston, TX by specialty
• Anesthesiology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.