Provider Demographics
NPI:1205299450
Name:ORLANDO TERNENY PLLC
Entity type:Organization
Organization Name:ORLANDO TERNENY PLLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:BILLING AGENT
Authorized Official - Prefix:
Authorized Official - First Name:TAMARA
Authorized Official - Middle Name:
Authorized Official - Last Name:RISPOLI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:480-255-3415
Mailing Address - Street 1:5959 WESTHEIMER RD
Mailing Address - Street 2:STE 132
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77057-7622
Mailing Address - Country:US
Mailing Address - Phone:713-588-1425
Mailing Address - Fax:
Practice Address - Street 1:5959 WESTHEIMER RD
Practice Address - Street 2:STE 132
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77057-7622
Practice Address - Country:US
Practice Address - Phone:713-588-1425
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-04-04
Last Update Date:2016-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXD7896208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral PracticeGroup - Single Specialty