IMA SUMAC DUCHICELA TANNER

RICHARDSON, TX
NPI1952744021
Other NameIMA SUMAC DUCHICELA TANNER
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: TX  R2023)
Enumeration Date2013-04-09
Last Update Date2018-06-04
Business Address
IMA SUMAC DUCHICELA TANNER M.D.
3030 WATERVIEW PKWY
RICHARDSON, TX 75080
Phone number: 972-669-7070
Mailing Address
IMA SUMAC DUCHICELA TANNER M.D.
3030 WATERVIEW PKWY
RICHARDSON, TX 75080-1400
Phone number: 972-669-7070