Provider Demographics
NPI:1164415212
Name:TAMMI LYN SCOTT
Entity Type:Organization
Organization Name:TAMMI LYN SCOTT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:TAMMI-LYN
Authorized Official - Middle Name:
Authorized Official - Last Name:SCOTT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:281-303-8000
Mailing Address - Street 1:6236 N HIGHWAY 146
Mailing Address - Street 2:SUITE 9
Mailing Address - City:BAYTOWN
Mailing Address - State:TX
Mailing Address - Zip Code:77523-9081
Mailing Address - Country:US
Mailing Address - Phone:281-303-8000
Mailing Address - Fax:281-303-8009
Practice Address - Street 1:6236 N HIGHWAY 146
Practice Address - Street 2:SUITE 9
Practice Address - City:BAYTOWN
Practice Address - State:TX
Practice Address - Zip Code:77523-9081
Practice Address - Country:US
Practice Address - Phone:281-303-8000
Practice Address - Fax:281-303-8009
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-08-24
Last Update Date:2011-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX0076708332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX5257250001Medicare ID - Type Unspecified