Basic Information
Provider Information
NPI: 1174832117
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: LINDSEY
FirstName: TAMIKA
MiddleName: N
NamePrefix:  
NameSuffix:  
Credential: FNP
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 2415 TOWN CENTER DR
Address2: STE 300
City: SUGAR LAND
State: TX
PostalCode: 774784387
CountryCode: US
TelephoneNumber: 2812010657
FaxNumber: 2813360764
Practice Location
Address1: 8720 HIGHWAY 6
Address2: STE 400
City: MISSOURI CITY
State: TX
PostalCode: 774597107
CountryCode: US
TelephoneNumber: 8323429204
FaxNumber:  
Other Information
ProviderEnumerationDate: 09/24/2010
LastUpdateDate: 12/08/2015
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
363LF0000X703242TXY Physician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily

No ID Information.


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