MEDICARE: ALEJANDRO A TEY MD

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	207V00000X	Obstetrics & Gynecology Physician	J9382	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	0060JL	OTHER	TX	BC/BS

General Provider Information

NPI Number	:	1114919693
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ALEJANDRO A TEY MD

Provider Business Mailing Address
First Line	:	801 E NOLANA ST
Second Line	:	STE 18
City	:	MCALLEN
State	:	TX
Zip	:	78504-6104
Country	:	US
Telephone Number	:	956-683-8001
Fax Number	:	956-971-8358

Provider Business Practice Location Address
First Line	:	801 E NOLANA ST
Second Line	:	STE 18
City	:	MCALLEN
State	:	TX
Zip	:	78504-6104
Country	:	US
Telephone Number	:	956-683-8001
Fax Number	:	956-971-8358

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/19/2005
Last Update Date	:	07/08/2007

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Directions to “ ALEJANDRO A TEY MD” Practice Location

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