Healthcare Provider Details

I. General information

NPI: 1548532138
Provider Name (Legal Business Name): TAMMY LYNN HANCHETT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/30/2012
Last Update Date: 01/30/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

15831 SWEETWATER CREEK DR
HOUSTON TX
77095-1622
US

IV. Provider business mailing address

15831 SWEETWATER CREEK DR
HOUSTON TX
77095-1622
US

V. Phone/Fax

Practice location:
  • Phone: 832-421-0814
  • Fax: 281-861-4706
Mailing address:
  • Phone: 832-421-0814
  • Fax: 281-861-4706

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code372600000X
TaxonomyAdult Companion
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: