| Grace P Tamesis Md Pa | |
|
16010 Park Valley Dr Ste 300 Grace P. Tamesis Md Pa Round Rock TX 78681-3577 | |
| (737) 203-9645 | |
| (737) 203-9646 |
| Full Name | Grace P Tamesis Md Pa |
|---|---|
| Speciality | Clinic/Center |
| Location | 16010 Park Valley Dr Ste 300, Round Rock, Texas |
| Authorized Official Name and Position | Grace P Tamesis (PHYSICIAN) |
| Authorized Official Contact | 3036015399 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Grace P Tamesis Md Pa 16010 Park Valley Dr Ste 300 Grace P. Tamesis Md Pa Round Rock TX 78681-3577 Ph: (737) 203-9645 | Grace P Tamesis Md Pa 16010 Park Valley Dr Ste 300 Grace P. Tamesis Md Pa Round Rock TX 78681-3577 Ph: (737) 203-9645 |
| NPI Number | 1003278474 |
|---|---|
| Provider Enumeration Date | 03/24/2016 |
| Last Update Date | 03/24/2016 |
| Medicare PECOS PAC ID | 2062701592 |
|---|---|
| Medicare Enrollment ID | O20160523001062 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003278474 | NPI | - | NPPES |
| K1693 | Other | TX | LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | K1693 (Texas) | Primary |
| Provider Name | Grace P Tamesis |
|---|---|
| Provider Type | Practitioner - Allergy/immunology |
| Provider Identifiers | NPI Number: 1740288729 PECOS PAC ID: 7618920141 Enrollment ID: I20050224000779 |
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