Organization
TENNISON CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DOUGLAS K TENNISON MD (OWNER)
(409) 385-7245
Entity
Organization
Contact information
Practice address
445 ROOSEVELT DR, SILSBEE, TX 77656-3529
(409) 385-7245
(409) 385-2494
Mailing address
445 ROOSEVELT DR, SILSBEE, TX 77656-3529
(409) 385-7245
(409) 385-2494
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
E2371
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0034KY
BLUECROSS BLUESHIELD OF TEXAS
TX
05
—
112046101
—
TX
05
—
112046102
—
TX
Enumeration date
01/21/2009
Last updated
01/21/2009
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us