Healthcare Provider Details

I. General information

NPI: 1275169047
Provider Name (Legal Business Name): DAPHNE TAMIR FNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/12/2020
Last Update Date: 07/22/2026
Certification Date: 07/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9805 BRODIE LN
AUSTIN TX
78748-5610
US

IV. Provider business mailing address

1301 EAST ST
HOUSTON TX
77007-3703
US

V. Phone/Fax

Practice location:
  • Phone: 512-462-1936
  • Fax: 833-448-3184
Mailing address:
  • Phone: 512-496-0796
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAP145194
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: