Short, Tammi M
Short, Tammi M is an individual health care provider with primary practice located at 3535 N Fourth St Ste 400 , Longview TX 75605-0038. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Short, Tammi M can be contacted via phone (903) 757-3881.Contact Information
Primary practice address
3535 N Fourth St Ste 400
Longview TX 75605-0038
Phone: (903) 757-3881
Fax: (903) 757-5948
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | 608154 | Texas |
Profile Details
| NPI number | 1538137153 |
|---|---|
| LBN Legal business name | Short, Tammi M |
| Credentials | FNP-C |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 9th, 2006 |
| Last updated | Mar 4th, 2022 - about 3 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1538137153 | NPPES |
| Texas | Other | 302333501 | MEDICAID GROUP TPI |
| Texas | Other | TXB145668 | MEDICAID GROUP TPI |
| Texas | Other | 157033504 | MEDICAID GROUP TPI |
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