Individual
TAMMY BEJARANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
11714 WILSON PARKE AVE STE 150, AUSTIN, TX 78726-4061
(512) 346-6611
(512) 406-6267
Mailing address
6210 E HWY 290 STE 240, AUSTIN, TX 78723-1144
(512) 483-9596
(512) 406-6216
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
1134381
TX
363LA2200X
Adult Health Nurse Practitioner
95019342
CA
Other
Enumeration date
12/13/2021
Last updated
11/14/2024
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