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Organization
TAMBRA R GARRETT MD PA
Active
Organization
TAMBRA R GARRETT MD PA
Active
Other names
LIFESTYLE FAMILY HEALTHCARE
Organization subpart
No
Provider details
NPI number
Authorized official
TAMBRA R GARRETT MD (OWNER)
(972) 539-5599
Entity
Organization
Contact information
Practice address
5870 LONG PRAIRIE RD, SUITE 200, FLOWER MOUND, TX 75028-2282
(972) 539-5599
Mailing address
5870 LONG PRAIRIE RD, SUITE 200, FLOWER MOUND, TX 75028-2282
(972) 539-5599
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
K5040
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0017MN
BCBS
TX
Enumeration date
01/02/2008
Last updated
02/09/2009
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