Tammy Quisenberry in Granbury - Pediatrics

Tammy Quisenberry - NPI 1588747372

Tammy Quisenberry is a Pediatrics in Granbury, Texas. Tammy Quisenberry practices all healthcare services and medical treatments related to Pediatrics. The NPI Number for Tammy Quisenberry is 1588747372. The last update date is 2016-11-16.

Tammy Quisenberry's current location address is 300 S Morgan St, Granbury, Texas. You can contact this provider via phone number 6822053340 and fax number 6822053342. The mailing address for Tammy Quisenberry is 300 S Morgan St, Granbury, Texas. To know further, please read the information below!

Provider Profile Detail

Provider Name Tammy Quisenberry
Address 300 S Morgan St, Granbury, Texas
Phone Number 6822053340
Fax Number 6822053342
Sole Proprietor N
Credentials PT

NPI Number Detail

NPI Number 1588747372
Provider Enumeration Date 2006-10-23
Last Updated Date 2016-11-16

Provider Mailing Address Detail

Address 300 S Morgan St
City Granbury
State Texas (TX)
Post Code 760481956
Phone Number 6822053340
Fax Number 6822053342

Provider's Primary Taxonomy Detail

Speciality Pediatrics
Taxonomy 2251P0200X
Licence No 1049468
Definition:
A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Pediatric Physical Therapy, who has demonstrated specialized knowledge and skill in anatomy, histology, including embryonic development,

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
86530T TX BLUE CROSS BLUE SHIELD

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FAQs about Tammy Quisenberry

What is the unique identifier code issued to Tammy Quisenberry by the Centers for Medicare & Medicaid Services (CMS)?

The Tammy Quisenberry has been assigned the NPI (National Provider Identifier) 1588747372. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.

Could you kindly provide the complete physical address where Tammy Quisenberry's facilities are geographically located?

The facilities of Tammy Quisenberry are physically situated at the following location: 300 S Morgan St, Granbury, TX, 760481956.

What is the Tammy Quisenberry's area of specialization and corresponding taxonomy classification?

The Tammy Quisenberry's specialty field is Pediatrics, and it falls under the taxonomy code 2251P0200X, which categorizes healthcare providers based on their specialties.

On what date did the Tammy Quisenberry receive its 1588747372 assignment from the Centers for Medicare & Medicaid Services?

The Tammy Quisenberry was assigned its 1588747372 by the Centers for Medicare & Medicaid Services on 2006-10-23.

As of what date were the details pertaining to Tammy Quisenberry last refreshed?

The information related to the Tammy Quisenberry, including its address, specialty, and other relevant details, was last updated on 2016-11-16.

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