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NPI Code Detail

MEDICARE: TOMMY BRIAN LAMBERT MDIV

MEDICARE: TOMMY BRIAN LAMBERT MDIV
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
1101YP1600XPastoral Counselor99999TX

General Provider Information

NPI Number : 1083188791
Entity Type Code : Individual
Provider Name (Legal Business Name) : TOMMY BRIAN LAMBERT MDIV
Provider Business Mailing Address
First Line : 6021 FAIRMONT PKWY STE 200
Second Line :
City : PASADENA
State : TX
Zip : 77505-4511
Country : US
Telephone Number : 713-269-8995
Fax Number : 281-991-9700
Provider Business Practice Location Address
First Line : 6021 FAIRMONT PKWY STE 200
Second Line :
City : PASADENA
State : TX
Zip : 77505-4511
Country : US
Telephone Number : 713-269-8995
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/15/2019
Last Update Date : 01/15/2019

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