Provider Demographics
NPI:1619004777
Name:TENORIO & TENORIO MD,PC
Entity Type:Organization
Organization Name:TENORIO & TENORIO MD,PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ARTURO
Authorized Official - Middle Name:
Authorized Official - Last Name:TENORIO
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:660-726-3974
Mailing Address - Street 1:PO BOX 176
Mailing Address - Street 2:
Mailing Address - City:ALBANY
Mailing Address - State:MO
Mailing Address - Zip Code:64402-0176
Mailing Address - Country:US
Mailing Address - Phone:660-726-3974
Mailing Address - Fax:660-726-3851
Practice Address - Street 1:1607 E US HIGHWAY 136
Practice Address - Street 2:
Practice Address - City:ALBANY
Practice Address - State:MO
Practice Address - Zip Code:64402-8223
Practice Address - Country:US
Practice Address - Phone:660-726-3974
Practice Address - Fax:660-726-3851
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-27
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MOR8525207Q00000X, 208600000X
MO35774208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Not Answered207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty
Not Answered208000000XAllopathic & Osteopathic PhysiciansPediatricsGroup - Multi-Specialty
Not Answered208600000XAllopathic & Osteopathic PhysiciansSurgeryGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO29320012OtherBCBS
MO30008925800OtherCOMMUNITY HEALTH PLAN
MO29320012OtherBCBS