=====================================================
General NPI Number Information
=====================================================
NPI Number | 1336380427
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | NANCY MARSAHLL TARRAND M.D.
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 03/19/2009
-----------------------------------------------------
Last Update Date | 03/19/2009
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 4706 BRAESVALLEY DR.
-----------------------------------------------------
City | HOUSTON
-----------------------------------------------------
State | TX
-----------------------------------------------------
Zip | 77096-1711
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 713-665-4706
-----------------------------------------------------
Fax | 713-661-5506
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 4706 BRAESVALLEY DR.
-----------------------------------------------------
City | HOUSTON
-----------------------------------------------------
State | TX
-----------------------------------------------------
Zip | 77096-1711
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 713-665-4706
-----------------------------------------------------
Fax | 713-661-5506
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 2084P0800X
-----------------------------------------------------
Taxonomy Name | Psychiatry Physician
-----------------------------------------------------
License Number | H7513
-----------------------------------------------------
License Number State | TX
-----------------------------------------------------