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Individual
TAMISHA RENEE PIPER
Active
Individual
TAMISHA RENEE PIPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA C
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA04406
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
K0140934
DPS
TX
01
—
P00230864
MEDICARE RAILROAD
—
Enumeration date
10/02/2006
Last updated
03/26/2009
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