Organization
DANDEWELL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. TAMMY LYNN TUBBLEVILLE RDN (REGISTERED DIETITIAN)
(903) 265-2710
Entity
Organization
Contact information
Practice address
255 E JOHNSON ST, TATUM, TX 75691-1914
(903) 265-2710
Mailing address
13460 STATE HIGHWAY 43 E, TATUM, TX 75691-4763
(903) 265-2710
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
—
—
Other
Enumeration date
10/13/2025
Last updated
10/13/2025
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