Tamara Wilson

Contractor · Portland, TX

Individual Active NPI

NPI number 1902228091

Practice location

1813 Dolphin Dr
Portland, TX 78374-2721
Phone
(361) 232-3770

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NPI record

NPI
1902228091
Entity type
Individual (Type 1)
Enumeration date
January 9, 2014
Last updated
January 9, 2014
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Contractor Primary 171W00000X — —

Mailing address

PO Box 220
Portland, TX 78374-0220
Phone
(361) 445-4643

About Tamara Wilson

Tamara Wilson is a healthcare provider registered in the NPI registry with the primary taxonomy Contractor (code 171W00000X). The practice location is 1813 Dolphin Dr, Portland, TX 78374-2721. The NPI number 1902228091 was assigned on January 9, 2014 and the record was last updated on January 9, 2014.

Frequently asked questions

What is the NPI number of Tamara Wilson?

The NPI number is 1902228091.

What is the phone number of Tamara Wilson?

The phone number listed for the practice location is (361) 232-3770.

Where is Tamara Wilson located?

1813 Dolphin Dr, Portland, TX 78374-2721.

What is the taxonomy code for Tamara Wilson?

The primary taxonomy code is 171W00000X – Contractor.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.