Individual
CARY T TANAMACHI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1010 N BELT LINE RD, #101, MESQUITE, TX 75149-1781
(972) 288-4429
(972) 288-9380
Mailing address
1010 N BELT LINE RD, #101, MESQUITE, TX 75149-1781
(972) 288-4429
(972) 288-9380
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
D9684
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
122306103
—
TX
Enumeration date
08/17/2005
Last updated
01/28/2008
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