Individual
DR. ANDREA K IKEN TENNISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
527 N LEONA ST, SAN ANTONIO, TX 78207-3110
(210) 731-1300
(210) 738-8025
Mailing address
3031 IH 10 W, SAN ANTONIO, TX 78201-5159
(210) 731-1300
(210) 738-8025
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
K4715
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
162804201
—
TX
Enumeration date
06/14/2006
Last updated
10/01/2012
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