MEDICARE: TAMIKA N LINDSEY FNP

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
1	363LF0000X	Family Nurse Practitioner	703242	TX

General Provider Information

NPI Number	:	1174832117
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TAMIKA N LINDSEY FNP

Provider Business Mailing Address
First Line	:	2415 TOWN CENTER DR
Second Line	:	STE 300
City	:	SUGAR LAND
State	:	TX
Zip	:	77478-4387
Country	:	US
Telephone Number	:	281-201-0657
Fax Number	:	281-336-0764

Provider Business Practice Location Address
First Line	:	8720 HIGHWAY 6
Second Line	:	STE 400
City	:	MISSOURI CITY
State	:	TX
Zip	:	77459-7107
Country	:	US
Telephone Number	:	832-342-9204
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/24/2010
Last Update Date	:	12/08/2015

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