Provider Demographics
NPI:1245489806
Name:DUNCAN, TAMARA K
Entity type:Individual
Prefix:
First Name:TAMARA
Middle Name:K
Last Name:DUNCAN
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:PO BOX 2374
Mailing Address - Street 2:
Mailing Address - City:BANDERA
Mailing Address - State:TX
Mailing Address - Zip Code:78003-2374
Mailing Address - Country:US
Mailing Address - Phone:830-796-7676
Mailing Address - Fax:830-796-7676
Practice Address - Street 1:611 MAIN ST.
Practice Address - Street 2:
Practice Address - City:BANDERA
Practice Address - State:TX
Practice Address - Zip Code:78003-2374
Practice Address - Country:US
Practice Address - Phone:830-796-7676
Practice Address - Fax:830-796-7676
Is Sole Proprietor?:Yes
Enumeration Date:2008-09-18
Last Update Date:2008-09-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX50213237700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument Specialist