Individual
TAMMIE RODAWAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NNP
Contact information
Practice address
1935 MEDICAL DISTRICT DR, DALLAS, TX 75235-7701
(214) 456-0810
(214) 456-0829
Mailing address
1935 MEDICAL DISTRICT DR, DALLAS, TX 75235-7701
(214) 456-0810
(214) 456-0829
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
789804
TX
363LN0005X
Critical Care Neonatal Nurse Practitioner
789804
TX
363LP0222X
Critical Care Pediatric Nurse Practitioner
Primary
789804
TX
Other
Enumeration date
07/31/2012
Last updated
05/30/2024
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