Boteler, Tamra Lei

Boteler, Tamra Lei is an individual health care provider with primary practice located at 4440 E Highway 287 , Midlothian TX 76065-5576. She recently has 2 registered licenses in different health care specialties including Dietary & Nutritional Service Providers / Nutrition, Education, Dietary & Nutritional Service Providers / Nutrition, Pediatric. Dietary & Nutritional Service Providers / Nutrition, Pediatric is her primary health care specialty. Boteler, Tamra Lei can be contacted via phone (972) 723-5590.

Contact Information

Primary practice address
4440 E Highway 287 Midlothian TX 76065-5576
Phone: (972) 723-5590
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dietary & Nutritional Service Providers / Nutrition, Education 133NN1002X
Dietary & Nutritional Service Providers / Nutrition, Pediatric 133VN1004X DT81661 Texas

Profile Details

NPI number 1194075762
LBN Legal business name Boteler, Tamra Lei
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 11th, 2012
Last updated Apr 7th, 2014 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1194075762 NPPES
Texas MEDICAID 207164901
Texas MEDICAID 149984001

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