Individual
DAVID JACKSON TENNENT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3551 ROGER BROOKE DR, SAN ANTONIO, TX 78234-4504
(210) 916-3410
(210) 916-7323
Mailing address
3551 ROGER BROOKE DR, FORT SAM HOUSTON, TX 78234-4504
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
0101254748
VA
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
Primary
0101254748
VA
Other
Enumeration date
03/12/2012
Last updated
02/23/2024
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