Organization
JOHN TENNY, M.D., P.A.
Active
Organization
JOHN TENNY, M.D., P.A.
Active
Other names
John Tenny, MD, PA
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN TENNY (PRESIDENT)
(972) 283-8700
Entity
Organization
Contact information
Practice address
3503 W WHEATLAND RD, SUITE 100, DALLAS, TX 75237-3461
(972) 283-8700
(972) 283-8704
Mailing address
PO BOX 1029, RED OAK, TX 75154-1029
(972) 283-8700
(972) 283-8704
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
G0845
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00D43U
BLUE CROSS BLUE SHIELD
TX
05
—
1143869-03
—
TX
Enumeration date
01/16/2007
Last updated
04/29/2015
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