Tamara Grace Peavy
Registered Nurse, Home Health in Cibolo, TX. Individual provider (NPI-1).
NPI number1194397752
StatusActive
Last updated in NPPESJul 13, 2021
Details
- NPI
- 1194397752
- Entity type
- Individual (NPI-1)
- Name
- Tamara Grace Peavy
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jul 13, 2021
- Certification date
- Jun 16, 2021
- Last updated
- Jul 13, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 163WH0200X | Registered Nurse, Home Health | 650870 | TX | Yes |
Practice location
218 Del Monte DrCibolo, TX 78108-3290
Phone 210-765-6480
Mailing address
218 Del Monte DrCibolo, TX 78108-3290
Phone 210-765-6480
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