Provider Demographics
NPI:1457456469
Name:PSY CARE PPLC
Entity Type:Organization
Organization Name:PSY CARE PPLC
Other - Org Name:TAMARA L. STARR MBR
Other - Org Type:Other Name
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:TAMARA
Authorized Official - Middle Name:L
Authorized Official - Last Name:STARR
Authorized Official - Suffix:
Authorized Official - Credentials:FNP
Authorized Official - Phone:832-428-2963
Mailing Address - Street 1:2330 TIMBER SHADOWS DR STE 106
Mailing Address - Street 2:
Mailing Address - City:KINGWOOD
Mailing Address - State:TX
Mailing Address - Zip Code:77339-2042
Mailing Address - Country:US
Mailing Address - Phone:832-250-2301
Mailing Address - Fax:
Practice Address - Street 1:2330 TIMBER SHADOWS DR STE 106
Practice Address - Street 2:
Practice Address - City:KINGWOOD
Practice Address - State:TX
Practice Address - Zip Code:77339-2042
Practice Address - Country:US
Practice Address - Phone:832-250-2301
Practice Address - Fax:281-313-0559
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-14
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC146655363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Single Specialty