Individual
FON AUGUSTIN TENYA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2828 FOREST LN STE 1053, DALLAS, TX 75234-7513
(972) 333-8122
(972) 243-1754
Mailing address
2828 FOREST LN STE 1053, DALLAS, TX 75234-7513
(972) 333-8122
Taxonomy
Speciality
Code
Description
License number
State
372600000X
Adult Companion
Primary
—
TX
376J00000X
Homemaker
—
—
Other
Enumeration date
08/26/2010
Last updated
08/26/2010
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