Organization Name: | ORLANDO TERNENY PLLC |
NPI Number: | 1205299450 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | TAMARA RISPOLI (BILLING AGENT) |
Mailing Address: | 5959 Westheimer Rd Ste 132 Houston |
State: | TX US |
Postal Code: | 770577622 |
Phone Number: | 7135881425 |
Fax Number: | |
NPI Enumeration Date: | 04/04/2016 |
NPI Last Update Date: | 04/04/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | D7896 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TX |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |