Individual
TAMARA HAYGOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1515 HOLCOMBE BLVD, HOUSTON, TX 77030-4000
(713) 792-6161
Mailing address
P O BOX 4439, HOUSTON, TX 77210-4439
(713) 792-2991
Taxonomy
Speciality
Code
Description
License number
State
2085B0100X
Body Imaging Physician
H6280
TX
2085R0202X
Diagnostic Radiology Physician
Primary
H6280
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
169655101
—
TX
01
—
8P9913
BCBS
TX
01
—
P00179886
RR MEDICARE
TX
Enumeration date
11/15/2006
Last updated
03/09/2023
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