Healthcare Provider Details

I. General information

NPI: 1992882328
Provider Name (Legal Business Name): TAMMY G. ALBRECHT MD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/01/2006
Last Update Date: 12/10/2025
Certification Date: 12/10/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

107 E PINE ST
HOUSTON MO
65483-1240
US

IV. Provider business mailing address

4761 CLARK RD
ELK CREEK MO
65464-9632
US

V. Phone/Fax

Practice location:
  • Phone: 417-967-0537
  • Fax: 417-967-0542
Mailing address:
  • Phone: 417-967-1056
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number2000161953
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: