Individual
TATIANA DENEGA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7777 FOREST LN, DALLAS, TX 75230-2571
(806) 589-8993
Mailing address
1050 AMELIA ST APT 1810, GRANGER, IN 46530-1440
(806) 589-8993
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
01077360B
IN
207R00000X
Internal Medicine Physician
S9491
TX
208M00000X
Hospitalist Physician
Primary
01077360A
IN
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/15/2014
Last updated
12/29/2022
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