Tami L.hannaman, O.d., P.a.

NPI #1922284728 in Southlake, Texas

Provider Information

NPI Number: 1922284728
Entity Type: Organization
Organization Name: Tami L.hannaman, O.d., P.a.
Primary Specialty: Optometrist
Enumeration Date: Jan 11, 2008
Last Updated: Jan 11, 2008

Practice Location

Address: 3004 E SOUTHLAKE BLVD
City: Southlake
State: Texas
ZIP Code: 76092-6618
Phone: (817) 748-2015

Authorized Official

Name: DR. TAMI LEA HANNAMAN, O.D.
Title: PRESIDENT/OPTOMETRIST
Phone: (817) 748-2015

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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