LUCILE BORDEN TENNANT

AUSTIN, TX
NPI1831170992
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology
(Licence: TX  J2370)
Additional Taxonomies207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology
(Licence: WI  46948)
207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology
(Licence: NY  202858)
207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology
(Licence: MA  209822)
Enumeration Date2005-11-07
Last Update Date2007-07-08
Business Address
-- LUCILE BORDEN TENNANT MD
601 E 15TH ST PATHOLOGY DEPARTMENT
AUSTIN, TX 78701-1930
Phone number: 812-324-7516
Mailing Address
-- LUCILE BORDEN TENNANT MD
PO BOX 164106
AUSTIN, TX 78716-4106
Phone number: 512-324-7516