MEDICARE: MS. TAMALA H. AUSTIN

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2279H0200X	Home Health Registered Respiratory Therapist

General Provider Information

NPI Number	:	1386820330
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. TAMALA H. AUSTIN

Provider Business Mailing Address
First Line	:	13234 ARDEN RIDGE LN
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77014-1980
Country	:	US
Telephone Number	:	281-587-1003
Fax Number	:

Provider Business Practice Location Address
First Line	:	440 BENMAR DR STE 2230
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77060-3169
Country	:	US
Telephone Number	:	281-999-5220
Fax Number	:	281-999-5598

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/20/2008
Last Update Date	:	01/21/2008

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