Healthcare Provider Details

I. General information

NPI: 1952588931
Provider Name (Legal Business Name): TAMARA R CALLIS MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/22/2008
Last Update Date: 09/16/2024
Certification Date: 09/16/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3601 N MACGREGOR WAY
HOUSTON TX
77004-8004
US

IV. Provider business mailing address

2 GREENWAY PLZ SUITE 900
HOUSTON TX
77046-0297
US

V. Phone/Fax

Practice location:
  • Phone: 713-873-4700
  • Fax:
Mailing address:
  • Phone: 713-798-1835
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberM8570
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: