NPIMap

Organization Active NPI

B Tano, M.D., P.a.

  • Allergy & Immunology (Internal Medicine) Physician
  • Tyler, TX
National Provider Identifier
1063679918
Registry record updated Oct 1, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy & Immunology (Internal Medicine) PhysicianTaxonomy code 207RA0201X
License
M4963 Issued in TX
Legal business name
B TANO, M.D., P.A.
Practice address
1404 Rice Rd Ste 300
Tyler, TX 75703-3621
Phone
(903) 561-9977
Fax
(903) 561-9985
NPI assigned
May 19, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 1, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Benoit Deki Tano, M.D.NPI 1457419616
Title
Owner
Phone
(903) 561-9977

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Allergy & Immunology (Internal Medicine) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RA0201X M4963 TX Primary

Addresses

Primary practice location

1404 Rice Rd Ste 300
Tyler, TX 75703-3621

Mailing address

PO Box 9910
Tyler, TX 75711-2910
Phone (903) 561-9977

Other names 1

  • The Center for Asthma, Allergy, Immunology & Hormone Health (TCAAIH) Doing business as

National Provider Directory

National Provider Directory
Tax ID family
B Tano MD PA3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1211155200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1222819200000",
    "number": "1063679918",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 9910",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757112910",
            "telephone_number": "903-561-9977",
            "fax_number": "903-561-9985"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1404 RICE RD STE 300",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757033621",
            "telephone_number": "903-561-9977",
            "fax_number": "903-561-9985"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "B TANO, M.D., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-19",
        "last_updated": "2008-10-01",
        "status": "A",
        "authorized_official_last_name": "TANO",
        "authorized_official_first_name": "BENOIT",
        "authorized_official_middle_name": "DEKI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "903-561-9977",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RA0201X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Allergy & Immunology",
            "state": "TX",
            "license": "M4963",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Center for Asthma, Allergy, Immunology & Hormone Health (TCAAIH)",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Tyler, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.