Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VX0000X | Obstetrician | N3100 | TX |
NPI | 1306082847 |
---|---|
Provider Name | Dr. Tametra Lynette Garnier |
First Address | Shenandoah, TX 77380-3279 |
Second Address | Shenandoah, TX 77380-3279 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 06/01/2009 |
Last Update Date | 11/06/2010 |