Individual
TARA ANN PANKEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGACNP
Contact information
Practice address
119 MEDICAL PARK LN STE D, HUNTSVILLE, TX 77340-4980
(936) 277-1000
Mailing address
119 MEDICAL PARK LN STE D, HUNTSVILLE, TX 77340-4980
(936) 277-1000
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
1066971
TX
Other
Enumeration date
01/19/2022
Last updated
01/19/2022
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