Individual
TAMIKA WADDLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PMHNP
Contact information
Practice address
3803 DREYFUS ST, HOUSTON, TX 77021-4735
(832) 713-3309
Mailing address
3803 DREYFUS ST, HOUSTON, TX 77021-4735
(832) 713-3309
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
1182438
TX
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
95033991
CA
Other
Enumeration date
12/11/2025
Last updated
12/11/2025
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