Individual
MRS. BRENDA KARINA TANYI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHYSICIAN ASSISTANT
Contact information
Practice address
1100 WILFORD HALL LOOP, JBSA LACKLAND, TX 78236-5638
(210) 808-5411
Mailing address
1100 WILFORD HALL LOOP, JBSA LACKLAND, TX 78236-5638
(202) 409-7369
Taxonomy
Speciality
Code
Description
License number
State
1710I1003X
Independent Duty Medical Technicians
—
—
363A00000X
Physician Assistant
Primary
0110006638
VA
Other
Enumeration date
04/24/2009
Last updated
06/24/2024
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