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NPI Code Detail

MEDICARE: MRS. TAMMY LYNN DOGGETT

MEDICARE: MRS. TAMMY LYNN DOGGETT
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
1225200000XPhysical Therapy Assistant210948TX

General Provider Information

NPI Number : 1760663934
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. TAMMY LYNN DOGGETT
Provider Business Mailing Address
First Line : 1960 BEDFORD RD
Second Line :
City : BEDFORD
State : TX
Zip : 76021-5722
Country : US
Telephone Number : 817-283-5479
Fax Number : 817-283-5479
Provider Business Practice Location Address
First Line : 1960 BEDFORD RD
Second Line :
City : BEDFORD
State : TX
Zip : 76021-5722
Country : US
Telephone Number : 817-283-5479
Fax Number : 817-283-5479
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/16/2007
Last Update Date : 11/16/2007

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