Individual
TAMARA LYNN PHILPOTT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CCNP
Contact information
Practice address
8200 WALNUT HILL LN, DALLAS, TX 75231-4426
(214) 345-2637
Mailing address
PO BOX 355, JOSEPHINE, TX 75164-0355
(214) 908-6845
Taxonomy
Speciality
Code
Description
License number
State
363LC0200X
Critical Care Medicine Nurse Practitioner
Primary
535114
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
535114
NURSING LICENSE
TX
Enumeration date
10/28/2010
Last updated
10/28/2010
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