Active NPI
B Tano, MD PA
- Allergy Physician
- West Lake Hills, TX
National Provider Identifier
1407072788
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Allergy Physician
- License
- M4963
- Legal business name
- B TANO, MD PA
- Practice address
- 4407 Bee Cave Rd Ste 122
West Lake Hills, TX 78746-6001 - Phone
- (512) 338-4336
- Fax
- (512) 330-9674
- NPI assigned
- Apr 17, 2007
- Last updated
- May 19, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Benoit Deki Tano, MD
- Title
- Ceo
- Phone
- (512) 338-4336
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Allergy Physician | 207KA0200X | M4963 | TX | Primary |
Addresses
Primary practice location
4407 Bee Cave Rd Ste 122
West Lake Hills, TX 78746-6001
Mailing address
2106 Holly Hill Dr
Tyler, TX 75703-0964
Phone (903) 581-0096
National Provider Directory
National Provider Directory- Tax ID family
- B Tano MD PA
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
dba The Center for Asthma, Allergy, Immunology & Hormone Health (TCAAIH)
- Allergy & Immunology (Internal Medicine) Physician
- San Antonio, TX
- NPI 1053570119
-
dba The Center for Asthma, Allergy, Immunology & Hormone Health (TCAAIH)
- Allergy & Immunology (Internal Medicine) Physician
- Tyler, TX
- NPI 1063679918
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176768000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1211155200000",
"number": "1407072788",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2106 HOLLY HILL DR",
"city": "TYLER",
"state": "TX",
"postal_code": "757030964",
"telephone_number": "903-581-0096"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4407 BEE CAVE RD STE 122",
"city": "WEST LAKE HILLS",
"state": "TX",
"postal_code": "787466001",
"telephone_number": "512-338-4336",
"fax_number": "512-330-9674"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "B TANO, MD PA",
"organizational_subpart": "NO",
"enumeration_date": "2007-04-17",
"last_updated": "2008-05-19",
"status": "A",
"authorized_official_last_name": "TANO",
"authorized_official_first_name": "BENOIT",
"authorized_official_middle_name": "DEKI",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "512-338-4336",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207KA0200X",
"taxonomy_group": "",
"desc": "Allergy & Immunology, Allergy",
"state": "TX",
"license": "M4963",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in West Lake Hills, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 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.