Provider Demographics
NPI:1548267081
Name:TENARO, LESLIE JEAN (MD)
Entity type:Individual
Prefix:
First Name:LESLIE
Middle Name:JEAN
Last Name:TENARO
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:17756 KATY FWY
Mailing Address - Street 2:STE G1
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77094-1380
Mailing Address - Country:US
Mailing Address - Phone:832-772-3330
Mailing Address - Fax:832-772-3332
Practice Address - Street 1:1201 DAIRY ASHFORD
Practice Address - Street 2:SUITE 200
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77079-3017
Practice Address - Country:US
Practice Address - Phone:713-407-3000
Practice Address - Fax:713-407-3051
Is Sole Proprietor?:No
Enumeration Date:2005-06-30
Last Update Date:2018-09-26
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Provider Licenses
StateLicense IDTaxonomies
TXJ8395207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXG10059Medicare UPIN
TX8L19836Medicare PIN