Provider Demographics
NPI:1184112971
Name:LIN, TAMMY FARRAH (MD)
Entity type:Individual
Prefix:DR
First Name:TAMMY
Middle Name:FARRAH
Last Name:LIN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:2740 N GAREY AVE STE 100
Mailing Address - Street 2:
Mailing Address - City:POMONA
Mailing Address - State:CA
Mailing Address - Zip Code:91767-1800
Mailing Address - Country:US
Mailing Address - Phone:909-325-7486
Mailing Address - Fax:956-389-2498
Practice Address - Street 1:2222 BENWOOD ST
Practice Address - Street 2:
Practice Address - City:HARLINGEN
Practice Address - State:TX
Practice Address - Zip Code:78550-8532
Practice Address - Country:US
Practice Address - Phone:956-389-2448
Practice Address - Fax:956-389-2498
Is Sole Proprietor?:No
Enumeration Date:2018-04-26
Last Update Date:2021-11-02
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
TXT3126207Q00000X
CAA173964207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine