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NPI Code Detail

MEDICARE: TAMIKA WADDLE PMHNP

MEDICARE:   TAMIKA  WADDLE  PMHNP
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
1363LP0808XPsychiatric/Mental Health Nurse Practitioner1182438TX
2363LP0808XPsychiatric/Mental Health Nurse Practitioner95033991CA

General Provider Information

NPI Number : 1598629743
Entity Type Code : Individual
Provider Name (Legal Business Name) : TAMIKA WADDLE PMHNP
Provider Business Mailing Address
First Line : 3803 DREYFUS ST
Second Line :
City : HOUSTON
State : TX
Zip : 77021-4735
Country : US
Telephone Number : 832-713-3309
Fax Number :
Provider Business Practice Location Address
First Line : 3803 DREYFUS ST
Second Line :
City : HOUSTON
State : TX
Zip : 77021-4735
Country : US
Telephone Number : 832-713-3309
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/11/2025
Last Update Date : 12/11/2025

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Directions to “ TAMIKA WADDLE PMHNP” Practice Location

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