MEDICARE: TAMMY LYNN HANCHETT

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	372600000X	Adult Companion

General Provider Information

NPI Number	:	1548532138
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TAMMY LYNN HANCHETT

Provider Business Mailing Address
First Line	:	15831 SWEETWATER CREEK DR
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77095-1622
Country	:	US
Telephone Number	:	832-421-0814
Fax Number	:	281-861-4706

Provider Business Practice Location Address
First Line	:	15831 SWEETWATER CREEK DR
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77095-1622
Country	:	US
Telephone Number	:	832-421-0814
Fax Number	:	281-861-4706

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

Provider Enumeration Date	:	01/30/2012
Last Update Date	:	01/30/2012

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Directions to “ TAMMY LYNN HANCHETT ” Practice Location

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