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NPI Code Detail

MEDICARE: TAMARA WEBB

MEDICARE:   TAMARA  WEBB
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
1347E00000XTransportation Broker

General Provider Information

NPI Number : 1215618970
Entity Type Code : Individual
Provider Name (Legal Business Name) : TAMARA WEBB
Provider Business Mailing Address
First Line : 10440 DEERWOOD RD APT 1012
Second Line :
City : HOUSTON
State : TX
Zip : 77042-1144
Country : US
Telephone Number : 612-321-6584
Fax Number :
Provider Business Practice Location Address
First Line : 10440 DEERWOOD RD APT 1012
Second Line :
City : HOUSTON
State : TX
Zip : 77042-1144
Country : US
Telephone Number : 612-321-6584
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/26/2023
Last Update Date : 07/26/2023

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Directions to “ TAMARA WEBB ” Practice Location

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