Organization Active NPI

B Tano, MD PA

  • Allergy Physician
  • West Lake Hills, TX
National Provider Identifier
1407072788
Registry record updated May 19, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy PhysicianTaxonomy code 207KA0200X
License
M4963 Issued in TX
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, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 19, 2008

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)CodeLicenseStatePrimary
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 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.

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.

Verify at the official NPI Registry.