Individual
TAMMY NNAMANI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S.
Contact information
Practice address
8500 N STEMMONS FWY, SUITE 6045, DALLAS, TX 75247-3832
(214) 879-1964
(214) 879-1968
Mailing address
8500 N STEMMONS FWY, SUITE 6045, DALLAS, TX 75247-3832
(214) 879-1964
(214) 879-1968
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
—
TX
171W00000X
Contractor
—
—
172A00000X
Driver
—
—
225C00000X
Rehabilitation Counselor
Primary
—
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
QMP000004721735
MCO
TX
Enumeration date
04/01/2015
Last updated
05/12/2015
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