Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mdtela

Organization Family Medicine Physician · NPI 1295337723

Mdtela is a Family Medicine Physician in Streetman, Texas. Registered with an NPI since 2020.

In the registry since
2020

Practice location Address checks out

160 September Dr
Streetman, TX 75859-3261
Phone: (833) 463-8352
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X

Record details

NPI number1295337723
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kimberly Tatum — Administrator · (931) 628-9210
Other names Mdtela
NPI enumeratedNovember 10, 2020
Last updated in NPPESNovember 10, 2020
Certification dateNovember 10, 2020
Mailing addressPo Box 946, Elkhart, TX 75839-0946

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