Provider Demographics
NPI:1891831269
Name:TARNOW AND ASSOCIATES, P.A.
Entity Type:Organization
Organization Name:TARNOW AND ASSOCIATES, P.A.
Other - Org Name:TARNOW CENTER FOR SELF MANAGEMENT
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JAY
Authorized Official - Middle Name:DENNIS
Authorized Official - Last Name:TARNOW
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:713-621-9515
Mailing Address - Street 1:1001 WEST LOOP S
Mailing Address - Street 2:215
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77027-9084
Mailing Address - Country:US
Mailing Address - Phone:713-621-9515
Mailing Address - Fax:713-621-7015
Practice Address - Street 1:1001 WEST LOOP S
Practice Address - Street 2:215
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77027-9084
Practice Address - Country:US
Practice Address - Phone:713-621-9515
Practice Address - Fax:713-621-7015
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-30
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXF5389174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX=========OtherTAX ID