Provider Demographics
NPI:1063135978
Name:TANYI, ROLAND TAMBE (PMHNP-BC)
Entity type:Individual
Prefix:
First Name:ROLAND
Middle Name:TAMBE
Last Name:TANYI
Suffix:
Gender:M
Credentials:PMHNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2602 GABLER DR
Mailing Address - Street 2:
Mailing Address - City:VENUS
Mailing Address - State:TX
Mailing Address - Zip Code:76084-3679
Mailing Address - Country:US
Mailing Address - Phone:214-773-2832
Mailing Address - Fax:
Practice Address - Street 1:2602 GABLER DR
Practice Address - Street 2:
Practice Address - City:VENUS
Practice Address - State:TX
Practice Address - Zip Code:76084-3679
Practice Address - Country:US
Practice Address - Phone:214-773-2832
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-09-26
Last Update Date:2024-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY4016103163WP0808X
TX1093580163WP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WP0808XNursing Service ProvidersRegistered NursePsychiatric/Mental Health