Provider Demographics
NPI:1912013319
Name:COMEAUX, TAMYRA YVETTE (MD)
Entity Type:Individual
Prefix:
First Name:TAMYRA
Middle Name:YVETTE
Last Name:COMEAUX
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:27150 HIGHWAY 290 STE 500
Mailing Address - Street 2:
Mailing Address - City:CYPRESS
Mailing Address - State:TX
Mailing Address - Zip Code:77433-7225
Mailing Address - Country:US
Mailing Address - Phone:346-704-3837
Mailing Address - Fax:832-237-4263
Practice Address - Street 1:27150 HIGHWAY 290 STE 500
Practice Address - Street 2:
Practice Address - City:CYPRESS
Practice Address - State:TX
Practice Address - Zip Code:77433-7225
Practice Address - Country:US
Practice Address - Phone:346-704-3837
Practice Address - Fax:844-344-8858
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-21
Last Update Date:2019-02-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXL0096207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX030224201Medicaid
00399M61Medicare ID - Type Unspecified
TX030224201Medicaid