Tami Lea Hannaman, OD

NPI #1013013051 in Southlake, Texas

Provider Information

NPI Number: 1013013051
Entity Type: Individual
Name: Tami Lea Hannaman, OD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Optometrist
Credential: OD
Enumeration Date: Sep 16, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 3004 E SOUTHLAKE BLVD
City: Southlake
State: Texas
ZIP Code: 76092
Phone: (817) 748-2015

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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