Individual
TOMMY TANNEHILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2931 HARNEY PATH, FORT SAM HOUSTON, TX 78234-7674
(210) 221-1111
Mailing address
1424 COFFEE TREE DR, NEW BRAUNFELS, TX 78130-5347
(760) 704-9052
Taxonomy
Speciality
Code
Description
License number
State
1710I1002X
Independent Duty Corpsman
Primary
—
—
Other
Enumeration date
07/28/2021
Last updated
07/28/2021
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