Organization
B TANO, MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BENOIT DEKI TANO MD (CEO)
(512) 338-4336
Entity
Organization
Contact information
Practice address
4407 BEE CAVE RD STE 122, WEST LAKE HILLS, TX 78746-6001
(512) 338-4336
(512) 330-9674
Mailing address
2106 HOLLY HILL DR, TYLER, TX 75703-0964
(903) 581-0096
Taxonomy
Speciality
Code
Description
License number
State
207KA0200X
Allergy Physician
Primary
M4963
TX
Other
Enumeration date
04/17/2007
Last updated
05/19/2008
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