Provider Demographics
NPI:1306902952
Name:TENORIO, ALBERT JOSEPH (LSA,FICS)
Entity type:Individual
Prefix:
First Name:ALBERT
Middle Name:JOSEPH
Last Name:TENORIO
Suffix:
Gender:M
Credentials:LSA,FICS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:19314 KESSINGTON LN
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77094-3453
Mailing Address - Country:US
Mailing Address - Phone:281-578-7122
Mailing Address - Fax:281-492-6494
Practice Address - Street 1:22403 WETHERBURN LN
Practice Address - Street 2:
Practice Address - City:KATY
Practice Address - State:TX
Practice Address - Zip Code:77449-2842
Practice Address - Country:US
Practice Address - Phone:281-989-0021
Practice Address - Fax:281-347-7504
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-28
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXSA00023246ZC0007X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246ZC0007XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, OtherSurgical Assistant