Provider Demographics
NPI:1760618920
Name:SMALL, TAMARA LYNN (MD)
Entity Type:Individual
Prefix:DR
First Name:TAMARA
Middle Name:LYNN
Last Name:SMALL
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Gender:F
Credentials:MD
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Mailing Address - Street 1:4775 W PANTHER CREEK DR
Mailing Address - Street 2:STE 345
Mailing Address - City:THE WOODLANDS
Mailing Address - State:TX
Mailing Address - Zip Code:77381-3592
Mailing Address - Country:US
Mailing Address - Phone:281-292-1191
Mailing Address - Fax:281-367-0396
Practice Address - Street 1:4775 W PANTHER CREEK DR
Practice Address - Street 2:STE 345
Practice Address - City:THE WOODLANDS
Practice Address - State:TX
Practice Address - Zip Code:77381-3592
Practice Address - Country:US
Practice Address - Phone:281-292-1191
Practice Address - Fax:281-367-0396
Is Sole Proprietor?:No
Enumeration Date:2009-06-02
Last Update Date:2012-12-10
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Provider Licenses
StateLicense IDTaxonomies
TXBP10035368207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine