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NPI Code Detail

MEDICARE: CARMEN TENISON OTR

MEDICARE:   CARMEN  TENISON  OTR
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
1225X00000XOccupational Therapist103878TX

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1103878OTHERTXTEXAS STATE BOARD OF OT

General Provider Information

NPI Number : 1679797377
Entity Type Code : Individual
Provider Name (Legal Business Name) : CARMEN TENISON OTR
Provider Business Mailing Address
First Line : PO BOX 720157
Second Line :
City : MCALLEN
State : TX
Zip : 78504
Country : US
Telephone Number : 956-682-6900
Fax Number : 956-683-7192
Provider Business Practice Location Address
First Line : 1002 W SAM HOUSTON BLVD STE 10
Second Line :
City : PHARR
State : TX
Zip : 78577-5198
Country : US
Telephone Number : 956-702-9882
Fax Number : 956-702-9886
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/12/2007
Last Update Date : 06/07/2010

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Directions to “ CARMEN TENISON OTR” Practice Location

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