Tanya P Lawhon, DDS

Individual provider Active NPI Dentist · Bishop, TX

NPI 1740494012 · NPPES record last updated Jul 8, 2007

Key facts

NPI
1740494012
Entity type
Individual (NPI type 1)
Primary specialty
Dentist 122300000X
License
21870 (TX)
Practice address
312 S Ave B
Bishop, TX 78343
Phone
(361) 584-2217
Fax
(361) 584-2872
NPI assigned
May 9, 2007
Sex
Female
Sole proprietor
No

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
21870TXMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Tanya P Lawhon D.D.S.P.a. Dentist Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 21870 TX Yes

Addresses

Primary practice location

312 S Ave B
Bishop, TX 78343

Mailing address

PO Box 865
312 S Ave B
Bishop, TX 78343
Phone (361) 584-2217

Other providers in Bishop, TX

All providers in Bishop, TX · Dentist in Texas

Sources for this page

Verify at the official NPI Registry.