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NPI Code Detail

MEDICARE: TAMMY FLEMMING

MEDICARE: TAMMY FLEMMING
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LA2100XAcute Care Nurse Practitioner1035839TX

General Provider Information

NPI Number : 1073810024
Entity Type Code : Individual
Provider Name (Legal Business Name) : TAMMY FLEMMING
Provider Business Mailing Address
First Line : PO BOX 844658
Second Line :
City : DALLAS
State : TX
Zip : 75284-4658
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1815 S 31ST ST
Second Line :
City : TEMPLE
State : TX
Zip : 76504-6728
Country : US
Telephone Number : 254-724-2111
Fax Number : 254-724-7603
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/26/2011
Last Update Date : 06/07/2021

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Directions to “ TAMMY FLEMMING ” Practice Location

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