Provider Demographics
NPI:1881130896
Name:FREEMAN, TAMRA (FNP)
Entity type:Individual
Prefix:
First Name:TAMRA
Middle Name:
Last Name:FREEMAN
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:TAMRA
Other - Middle Name:
Other - Last Name:KOTROLA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2051 GATTIS SCHOOL RD
Mailing Address - Street 2:SUITE 250
Mailing Address - City:ROUND ROCK
Mailing Address - State:TX
Mailing Address - Zip Code:78664-7441
Mailing Address - Country:US
Mailing Address - Phone:512-324-4813
Mailing Address - Fax:
Practice Address - Street 1:2051 GATTIS SCHOOL RD
Practice Address - Street 2:SUITE 250
Practice Address - City:ROUND ROCK
Practice Address - State:TX
Practice Address - Zip Code:78664-7441
Practice Address - Country:US
Practice Address - Phone:512-324-4813
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-01-13
Last Update Date:2017-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAP131423363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily