Provider Demographics
NPI:1043481401
Name:TANTCHOU, MICHELINE SILVIE (MD)
Entity type:Individual
Prefix:
First Name:MICHELINE
Middle Name:SILVIE
Last Name:TANTCHOU
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:MICHELINE
Other - Middle Name:SILVIE
Other - Last Name:OUETHY NANA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:6361 CALLE DEL RIO
Mailing Address - Street 2:
Mailing Address - City:EL PASO
Mailing Address - State:TX
Mailing Address - Zip Code:79912-3436
Mailing Address - Country:US
Mailing Address - Phone:571-765-0248
Mailing Address - Fax:
Practice Address - Street 1:1400 N COLD RD SUITE 302
Practice Address - Street 2:
Practice Address - City:MCKINNEY
Practice Address - State:TX
Practice Address - Zip Code:75071
Practice Address - Country:US
Practice Address - Phone:888-803-3370
Practice Address - Fax:888-803-3331
Is Sole Proprietor?:Yes
Enumeration Date:2008-03-13
Last Update Date:2025-07-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC2012-02320207Q00000X
AL49983207Q00000X
MS34343207Q00000X
IL036.172543207Q00000X
PA487856C207Q00000X
MIEMC0005997207Q00000X
WI5063-320207Q00000X
TXQ2858207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty