MEDICARE: TEHMINA TASNEEM M.D

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	207Q00000X	Family Medicine Physician	N1915	TX
2	207QG0300X	Geriatric Medicine (Family Medicine) Physician	N1915	TX

General Provider Information

NPI Number	:	1437394723
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TEHMINA TASNEEM M.D

Provider Business Mailing Address
First Line	:	7601 GLENVIEW DR.
Second Line	:
City	:	NORTH RICHLAND HILLS
State	:	TX
Zip	:	76180-8571
Country	:	US
Telephone Number	:	817-274-2578
Fax Number	:	817-284-3921

Provider Business Practice Location Address
First Line	:	7601 GLENVIEW DR.
Second Line	:
City	:	NORTH RICHLAND HILLS
State	:	TX
Zip	:	76180-4917
Country	:	US
Telephone Number	:	817-274-2578
Fax Number	:	817-284-3921

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

Provider Enumeration Date	:	12/16/2008
Last Update Date	:	09/01/2010

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