Individual
DR. KENNETH L TANYI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3551 ROGER BROOKE DR, FORT SAM HOUSTON, TX 78234-4504
(210) 539-9582
Mailing address
3551 ROGER BROOKE DR, FORT SAM HOUSTON, TX 78234-4504
(210) 539-9582
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
T9257
TX
208600000X
Surgery Physician
0101289258
VA
208600000X
Surgery Physician
ME160973
FL
208600000X
Surgery Physician
T9257
TX
2086S0102X
Surgical Critical Care Physician
0101289258
VA
2086S0102X
Surgical Critical Care Physician
ME160973
FL
2086S0102X
Surgical Critical Care Physician
Primary
T9257
TX
2086S0127X
Trauma Surgery Physician
0101289258
VA
2086S0127X
Trauma Surgery Physician
ME160973
FL
2086S0127X
Trauma Surgery Physician
T9257
TX
Other
Enumeration date
03/23/2015
Last updated
04/20/2026
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