Tammy L. Broxson in Dallas - Pediatrics

Tammy L. Broxson - NPI 1629027792

Tammy L. Broxson is a Pediatrics in Dallas, Texas. Tammy L. Broxson practices all healthcare services and medical treatments related to Pediatrics. The NPI Number for Tammy L. Broxson is 1629027792. The last update date is 2016-08-10.

Tammy L. Broxson's current location address is 5470 W. Lovers Lane, Dallas, Texas. You can contact this provider via phone number 2149567337 and fax number 4693648724. The mailing address for Tammy L. Broxson is 5470 W. Lovers Lane, Dallas, Texas. To know further, please read the information below!

Provider Profile Detail

Provider Name Tammy L. Broxson
Address 5470 W. Lovers Lane, Dallas, Texas
Phone Number 2149567337
Fax Number 4693648724
Sole Proprietor N
Credentials MD

NPI Number Detail

NPI Number 1629027792
Provider Enumeration Date 2006-05-08
Last Updated Date 2016-08-10

Provider Mailing Address Detail

Address 5470 W. Lovers Lane
City Dallas
State Texas (TX)
Post Code 75209
Phone Number 2149567337
Fax Number 4693648724

Provider's Primary Taxonomy Detail

Speciality Pediatrics
Taxonomy 208000000X
Licence No L4488
Definition:
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
L4488 TX MEDICAL LICENSE
05-0622563 TX TAX NUMBER
7313193 TX AETNA PIN NUMBER
0020KW TX BCBS PROVIDER ID

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FAQs about Tammy L. Broxson

What is the Tammy L. Broxson's 1629027792?

The Tammy L. Broxson's NPI (National Provider Identifier) Number is 1629027792. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).

Could you share the physical location details of Tammy L. Broxson?

The Tammy L. Broxson is situated at 5470 W. Lovers Lane, in the city of Dallas, state of TX, with the zip code 75209.

What is Tammy L. Broxson's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?

The area of specialization for Tammy L. Broxson is Pediatrics, and the taxonomy code that classifies this field of practice is 208000000X.

On what date was the 1629027792 assigned to Tammy L. Broxson?

The Tammy L. Broxson was issued its 1629027792 on 2006-05-08, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.

As of what date were the details related to Tammy L. Broxson most recently updated or revised?

The information pertaining to Tammy L. Broxson, including its address, specialty, and other relevant details, was last updated or revised on 2016-08-10.

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