MEDICARE: TEJAS EAR, NOSE AND THROAT P.A.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	174400000X	Specialist	J7858	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1427232511
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TEJAS EAR, NOSE AND THROAT P.A.

Provider Business Mailing Address
First Line	:	7201 WYOMING SPRINGS DR STE 100
Second Line	:
City	:	ROUND ROCK
State	:	TX
Zip	:	78681-4311
Country	:	US
Telephone Number	:	512-255-8070
Fax Number	:	512-255-9060

Provider Business Practice Location Address
First Line	:	7201 WYOMING SPRINGS DR STE 100
Second Line	:
City	:	ROUND ROCK
State	:	TX
Zip	:	78681-4311
Country	:	US
Telephone Number	:	512-255-8070
Fax Number	:	512-255-9060

Authorized Official
Title or Position	:	DOCTOR/CEO
Name	:	DR. OSCAR ARNOLDO TAMEZ
Credential	:	M.D.
Telephone Number	:	512-255-8070

Provider Enumeration Date	:	12/26/2007
Last Update Date	:	03/05/2024

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Directions to “TEJAS EAR, NOSE AND THROAT P.A. ” Practice Location

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