Organization
RAJENDRA K. TANNA, M.D., P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RAJENDRA K TANNA MD (OWNER)
(817) 336-8855
Entity
Organization
Contact information
Practice address
1000 COLLEGE AVE, FORT WORTH, TX 76104-3033
(817) 336-8855
(817) 336-4228
Mailing address
1000 COLLEGE AVE, FORT WORTH, TX 76104-3033
(817) 336-8855
(817) 336-4228
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
F7942
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
099488101
—
TX
Enumeration date
04/03/2007
Last updated
10/20/2008
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