Individual
DR. DENNIS A TWEEDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4101 JAMES CASEY ST, SUITE 250, AUSTIN, TX 78745-1110
(512) 419-9733
(512) 440-1747
Mailing address
PO BOX 911230, DALLAS, TX 75391-1230
(972) 997-8000
(972) 237-0813
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
H7840
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0811853-01
—
TX
05
—
132779302
—
TX
05
—
132779309
—
TX
05
—
132779310
—
TX
01
—
830004370
RAILROAD MEDICARE NUMBER
TX
01
—
8BP363
BCBS OF TX
TX
01
—
P00691573
RAILROAD MEDICARE
TX
Enumeration date
06/03/2006
Last updated
05/10/2018
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