Provider Demographics
NPI:1891394953
Name:BOBBITT-GRAY, TAMMY JEAN (FNP-C)
Entity Type:Individual
Prefix:
First Name:TAMMY
Middle Name:JEAN
Last Name:BOBBITT-GRAY
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10801 CHOATE RD
Mailing Address - Street 2:
Mailing Address - City:PASADENA
Mailing Address - State:TX
Mailing Address - Zip Code:77507-1503
Mailing Address - Country:US
Mailing Address - Phone:713-822-2457
Mailing Address - Fax:281-291-3647
Practice Address - Street 1:10801 CHOATE RD
Practice Address - Street 2:
Practice Address - City:PASADENA
Practice Address - State:TX
Practice Address - Zip Code:77507-1503
Practice Address - Country:US
Practice Address - Phone:713-822-2457
Practice Address - Fax:281-291-3647
Is Sole Proprietor?:No
Enumeration Date:2020-10-20
Last Update Date:2020-10-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1017380363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily