Provider Demographics
NPI:1851514665
Name:SCARBER, TENA CARROLL (L AC)
Entity Type:Individual
Prefix:MS
First Name:TENA
Middle Name:CARROLL
Last Name:SCARBER
Suffix:
Gender:F
Credentials:L AC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:5608 SOUTHERN HILLS DR
Mailing Address - Street 2:
Mailing Address - City:FRISCO
Mailing Address - State:TX
Mailing Address - Zip Code:75034-6863
Mailing Address - Country:US
Mailing Address - Phone:972-742-1152
Mailing Address - Fax:972-624-1528
Practice Address - Street 1:4100 W 15TH ST
Practice Address - Street 2:220
Practice Address - City:PLANO
Practice Address - State:TX
Practice Address - Zip Code:75093-5803
Practice Address - Country:US
Practice Address - Phone:972-742-1152
Practice Address - Fax:972-867-6376
Is Sole Proprietor?:No
Enumeration Date:2007-04-10
Last Update Date:2009-10-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX00754171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX050603023Medicare UPIN