Organization
GRACE P TAMESIS MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GRACE P TAMESIS MD MPH (PHYSICIAN)
(303) 601-5399
Entity
Organization
Contact information
Practice address
16010 PARK VALLEY DR STE 300, GRACE P. TAMESIS MD PA, ROUND ROCK, TX 78681-3577
(737) 203-9645
(737) 203-9646
Mailing address
16010 PARK VALLEY DR STE 300, GRACE P. TAMESIS MD PA, ROUND ROCK, TX 78681-3577
(737) 203-9645
(737) 203-9646
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
K1693
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
K1693
LICENSE
TX
Enumeration date
03/24/2016
Last updated
03/24/2016
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