Provider Demographics
NPI:1598234130
Name:HONS, TAMARA
Entity Type:Individual
Prefix:
First Name:TAMARA
Middle Name:
Last Name:HONS
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 1:505 MCKINNEY AVE
Mailing Address - Street 2:
Mailing Address - City:GRAFORD
Mailing Address - State:TX
Mailing Address - Zip Code:76449-3742
Mailing Address - Country:US
Mailing Address - Phone:940-886-7330
Mailing Address - Fax:
Practice Address - Street 1:505 MCKINNEY AVE
Practice Address - Street 2:
Practice Address - City:GRAFORD
Practice Address - State:TX
Practice Address - Zip Code:76449-3742
Practice Address - Country:US
Practice Address - Phone:940-886-7330
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-11-13
Last Update Date:2018-11-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX807361163WI0500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WI0500XNursing Service ProvidersRegistered NurseInfusion Therapy