Ima Sumac Duchicela Tanner, M.D.
NPI #1952744021 in Richardson, Texas
Provider Information
- NPI Number
- 1952744021
- Entity Type
- Individual
- Name
- Ima Sumac Duchicela Tanner, M.D.
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Family Medicine
- Credential
- M.D.
- Enumeration Date
- Apr 9, 2013
- Last Updated
- Jun 4, 2018
Practice Location
- Address
- 3030 WATERVIEW PKWY
- City
- Richardson
- State
- Texas
- ZIP Code
- 75080
- Phone
- (972) 669-7070
Specialties & Taxonomy Codes
| Specialty |
|---|
| Family Medicine |
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