Provider Demographics
NPI:1801877071
Name:CAMP, TAMMY (MD)
Entity type:Individual
Prefix:
First Name:TAMMY
Middle Name:
Last Name:CAMP
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:PO BOX 5865
Mailing Address - Street 2:
Mailing Address - City:LUBBOCK
Mailing Address - State:TX
Mailing Address - Zip Code:79408-5865
Mailing Address - Country:US
Mailing Address - Phone:806-743-2898
Mailing Address - Fax:806-743-2787
Practice Address - Street 1:3502 9TH ST
Practice Address - Street 2:SUITE 130
Practice Address - City:LUBBOCK
Practice Address - State:TX
Practice Address - Zip Code:79415-3300
Practice Address - Country:US
Practice Address - Phone:806-743-1188
Practice Address - Fax:806-743-1187
Is Sole Proprietor?:No
Enumeration Date:2005-11-07
Last Update Date:2021-10-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXJ8480208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX80854ZOtherHMO BLUE
TX109780100OtherFIRSTCARE COMMERCIAL
NM59099OtherPRESBYTERIAN COMMERCIAL
TX105335702Medicaid
TX109780101Medicaid
NM59099Medicaid
TX105335701Medicaid
TXA024OtherTRIWEST
NMR8595Medicaid
OK100166630AMedicaid
TX86Z587OtherBC/BS
TX105335702Medicaid
TX109780101Medicaid
TX86Z587Medicare PIN