Provider Demographics
NPI:1770083289
Name:FRANKE, TAMMY LEE (RN)
Entity type:Individual
Prefix:
First Name:TAMMY
Middle Name:LEE
Last Name:FRANKE
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10214 BRIAR ROSE
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78254-5920
Mailing Address - Country:US
Mailing Address - Phone:210-380-2993
Mailing Address - Fax:210-380-2993
Practice Address - Street 1:10214 BRIAR ROSE
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78254-5920
Practice Address - Country:US
Practice Address - Phone:210-380-2993
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-02-20
Last Update Date:2018-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX604263163W00000X, 163WW0000X
TX604238163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse
No163WW0000XNursing Service ProvidersRegistered NurseWound Care