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General NPI Number Information
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NPI Number | 1760276448
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Entity Type | Organization
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Legal Business Name | TAMAYO FAMILY CARE PLLC
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Dates
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Enumeration Date | 04/07/2025
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Last Update Date | 06/09/2025
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Provider Practice Location Address
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Address Line | 409 N BRYAN RD STE 106
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City | MISSION
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State | TX
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Zip | 78572-6293
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Country | US
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Telephone | 956-540-2588
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Fax | 888-355-6407
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Provider Business Mailing Address
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Address Line | 409 N BRYAN RD STE 106
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City | MISSION
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State | TX
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Zip | 78572-6293
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Country | US
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Telephone | 956-540-2588
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Fax | 888-355-6407
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Authorized Official
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Title or Position | CEO
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Name | MIGUEL TAMAYO
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Credential | MD
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Telephone | 956-540-2588
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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