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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