Provider Demographics
NPI:1477937910
Name:ROBERT M TENERY JR MD
Entity Type:Organization
Organization Name:ROBERT M TENERY JR MD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:LETHA
Authorized Official - Middle Name:TAYLOR
Authorized Official - Last Name:STALLS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:972-566-8200
Mailing Address - Street 1:7777 FOREST LN
Mailing Address - Street 2:B424
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75230-6826
Mailing Address - Country:US
Mailing Address - Phone:972-566-8200
Mailing Address - Fax:972-233-0129
Practice Address - Street 1:7777 FOREST LN
Practice Address - Street 2:B424
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75230-6826
Practice Address - Country:US
Practice Address - Phone:972-566-8200
Practice Address - Fax:972-233-0129
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-07-15
Last Update Date:2015-07-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXD5263207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmologyGroup - Single Specialty