Provider Demographics
NPI:1386820330
Name:AUSTIN, TAMALA H
Entity Type:Individual
Prefix:MS
First Name:TAMALA
Middle Name:H
Last Name:AUSTIN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13234 ARDEN RIDGE LN
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77014-1980
Mailing Address - Country:US
Mailing Address - Phone:281-587-1003
Mailing Address - Fax:
Practice Address - Street 1:440 BENMAR DR STE 2230
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77060-3169
Practice Address - Country:US
Practice Address - Phone:281-999-5220
Practice Address - Fax:281-999-5598
Is Sole Proprietor?:Yes
Enumeration Date:2008-01-20
Last Update Date:2008-01-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2279H0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRespiratory Therapist, RegisteredHome Health