MEDICARE: ORLANDO TERNENY, PLLC

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	207R00000X	Internal Medicine Physician	D7896	TX

General Provider Information

NPI Number	:	1457773558
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ORLANDO TERNENY, PLLC

Provider Business Mailing Address
First Line	:	2650 FOUNTAIN VIEW DR
Second Line	:	SUITE 330
City	:	HOUSTON
State	:	TX
Zip	:	77057-7631
Country	:	US
Telephone Number	:	713-588-1425
Fax Number	:	713-588-1424

Provider Business Practice Location Address
First Line	:	2650 FOUNTAIN VIEW DR
Second Line	:	SUITE 330
City	:	HOUSTON
State	:	TX
Zip	:	77057-7631
Country	:	US
Telephone Number	:	713-588-1425
Fax Number	:	713-588-1424

Authorized Official
Title or Position	:	OFFICE MANAGER
Name	:	GARY KRAFT
Credential	:
Telephone Number	:	713-588-1425

Provider Enumeration Date	:	01/09/2014
Last Update Date	:	01/09/2014

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