Individual
DR. GRACE P TAMESIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D., MPH
Contact information
Practice address
16010 PARK VALLEY DR, SUITE 300, ROUND ROCK, TX 78681-3574
(303) 601-5399
Mailing address
16010 PARK VALLEY DR, SUITE 300, ROUND ROCK, TX 78681-3574
(303) 601-5399
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
K1693
TX
207KI0005X
Clinical & Laboratory Immunology (Allergy & Immunology) Physician
K1693
TX
2080P0201X
Pediatric Allergy/Immunology Physician
K1693
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
79878245
—
CO
Enumeration date
07/13/2005
Last updated
02/27/2016
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