Provider Demographics
NPI:1417587379
Name:COLMERY, TAMMY MESHELL (HIS)
Entity Type:Individual
Prefix:MRS
First Name:TAMMY
Middle Name:MESHELL
Last Name:COLMERY
Suffix:
Gender:F
Credentials:HIS
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:6200 REGIONAL PLZ STE 1400
Mailing Address - Street 2:
Mailing Address - City:ABILENE
Mailing Address - State:TX
Mailing Address - Zip Code:79606-5221
Mailing Address - Country:US
Mailing Address - Phone:325-690-4070
Mailing Address - Fax:325-690-4069
Practice Address - Street 1:6200 REGIONAL PLZ STE 1400
Practice Address - Street 2:
Practice Address - City:ABILENE
Practice Address - State:TX
Practice Address - Zip Code:79606-5221
Practice Address - Country:US
Practice Address - Phone:325-690-4070
Practice Address - Fax:325-690-4069
Is Sole Proprietor?:No
Enumeration Date:2020-01-20
Last Update Date:2023-07-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX80853237700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument Specialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX80853OtherLICENSED FITTER AND DISPENSER OF HEARING INSTRUMENTS