Provider Demographics
NPI:1558326090
Name:T AND T HEALTHCARE, INC.
Entity Type:Organization
Organization Name:T AND T HEALTHCARE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEDICAL DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:ATLENER
Authorized Official - Middle Name:
Authorized Official - Last Name:ARTIS-TROWER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:301-441-3722
Mailing Address - Street 1:PO BOX 87
Mailing Address - Street 2:
Mailing Address - City:GREENBELT
Mailing Address - State:MD
Mailing Address - Zip Code:20768-0087
Mailing Address - Country:US
Mailing Address - Phone:301-441-3722
Mailing Address - Fax:301-441-2774
Practice Address - Street 1:6201 GREENBELT RD
Practice Address - Street 2:SUITE M-7
Practice Address - City:BERWYN HEIGHTS
Practice Address - State:MD
Practice Address - Zip Code:20740-2354
Practice Address - Country:US
Practice Address - Phone:301-441-3722
Practice Address - Fax:301-441-2774
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-04-18
Last Update Date:2014-05-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD0052015207Q00000X, 2084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty
No2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
G02193Medicare ID - Type Unspecified