Provider Demographics
NPI:1033196076
Name:KAPPLINGER, TAMARA ANN (PA)
Entity Type:Individual
Prefix:
First Name:TAMARA
Middle Name:ANN
Last Name:KAPPLINGER
Suffix:
Gender:F
Credentials:PA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:21216 NORTHWEST FREEWAY STE 570
Mailing Address - Street 2:
Mailing Address - City:CYPRESS
Mailing Address - State:TX
Mailing Address - Zip Code:77429
Mailing Address - Country:US
Mailing Address - Phone:281-469-4377
Mailing Address - Fax:281-469-7355
Practice Address - Street 1:21216 NORTHWEST FREEWAY STE 570
Practice Address - Street 2:
Practice Address - City:CYPRESS
Practice Address - State:TX
Practice Address - Zip Code:77429
Practice Address - Country:US
Practice Address - Phone:281-469-4377
Practice Address - Fax:281-469-7355
Is Sole Proprietor?:No
Enumeration Date:2005-12-30
Last Update Date:2013-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXPA04616363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXPA04616OtherLICENSE NUMBER