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Organization

TAMI L.HANNAMAN, O.D., P.A.

Active
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Organization

TAMI L.HANNAMAN, O.D., P.A.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. TAMI LEA HANNAMAN O.D. (PRESIDENT/OPTOMETRIST)
(817) 748-2015
Entity
Organization

Contact information

Practice address
3004 E SOUTHLAKE BLVD, SOUTHLAKE, TX 76092-6618
(817) 748-2015
(817) 749-2015
Mailing address
3004 E SOUTHLAKE BLVD, SOUTHLAKE, TX 76092-6618
(817) 748-2015
(817) 749-2015

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
5247TX
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
—
81244E
BCBS
TX
01
—
921463
BLOCK VISION
TX
01
—
TX5247
EYEMED
TX
Enumeration date
01/11/2008
Last updated
01/11/2008
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