TAMMY DRERUP (NPI# 1215927488) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215927488 |
| Entity Type | Individual |
| Full Name | TAMMY DRERUP |
| Credential | O.P.A.C., R.T. |
| Practice Address |
7510 Echo Pines Dr Humble TX 77346-3140 |
| Practice Telephone | 2819897442 |
| Mailing Telephone | 2819897442 |
| Enumeration Date | 2005-10-27 |
| Last Update Date | 2020-02-01 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
7510 ECHO PINES DR |
| City | HUMBLE |
| State | TX |
| Zip Code | 77346-3140 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194336024 | Chandler Dejean | Dentist | 7315 Farm To Market 1960 Rd E, Humble, TX 77346 | 2020-08-13 |
| 1184275281 | Lakeshia Williams | Technician | 7419 Auburn Oak Trail, Humble, TX 77346 | 2019-09-20 |
| 1720557275 | Soh of Texas Samson Liu Pllc | Dentist | Fm 1960 #204, Humble, TX 77346 | 2018-11-14 |
| 1548774979 | Cvs Pharmacy Inc | Durable Medical Equipment & Medical Supplies | 17900 West Lake Houston Highway, Houston, TX 77346 | 2017-11-21 |
| 1194267187 | Family Ties Living Center | Clinic/Center | 18707 Timbers Trace Drive, Humble, TX 77346 | 2016-11-08 |
| 1992254809 | Adam Thomas Huval | Registered Nurse | 20440 Us-59 #500, Humble, TX 77346 | 2016-10-03 |
| 1770953408 | Alliance Mri Lake Houston, LLC | Clinic/Center | 5514 Atascocita Road, Suite 180, Humble, TX 77346 | 2015-10-07 |
| 1740670975 | Ayesha Mohiuddin | Pediatrics | 17903 W Lake Houston Pkwy Ste 202, Atascocita, TX 77346 | 2015-01-26 |
| 1124422415 | Christopher Roath | Behavioral Analyst | 5364 Farm To Market 1960 Rd E, Humble, TX 77346 | 2014-10-15 |
| 1982004099 | Kimberly Fulghum | Registered Nurse | 19406 Texas Laurel Trl, Humble, TX 77346 | 2014-08-26 |
| Find all providers in zip 77346 | ||||
| Taxonomy Code | 363AS0400X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Surgical Technologist |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487083200 | Mbm Assisting LLC | Physician Assistant | 9490 Fm 1960 Bypass W. Ste. 200-310, Humble, TX 77338-3962 | 2013-11-02 |
| 1396172185 | Oprthopaedic Surgical Assistants | Physician Assistant | 7933 Farmingham Road, Suite C Box 11, Humble, TX 77346 | 2013-10-11 |
| 1841639689 | Antonio Rallos Macapaz Sr. | Physician Assistant | 18402 Huron Park Trl, Humble, TX 77346-3453 | 2013-06-14 |
| 1558675363 | Superior Assistants Inc. | Physician Assistant | 17210 Timber Rail Ct, Humble, TX 77396-4073 | 2010-08-04 |
| 1417273996 | John Edward Doucet Jr. | Physician Assistant | 7215 Fox Star Ln, Humble, TX 77338 | 2010-04-09 |
| 1871815431 | Leana Lynn Basco | Physician Assistant | 3 New Oak Trail, Humble, TX 77346-8151 | 2010-02-24 |
| 1104061738 | Robin Denise Williams | Physician Assistant | 17210 Timber Rail Ct., Humble, TX 77396 | 2008-12-11 |
| 1023168044 | Ken Tobias Stevenson | Physician Assistant | 4831 Canyon Shore Dr, Humble, TX 77396-6109 | 2007-01-11 |
| 1255384061 | Andrea M Mcniel | Physician Assistant | 18955 N Memorial Dr Ste 240, Humble, TX 77338-4271 | 2006-05-19 |
| 1598183675 | Erin Nicole Placette | Physician Assistant | 18955 N Memorial Dr, Suite 400, Humble, TX 77338-4271 | 2014-04-04 |
| Find all providers in HUMBLE | ||||
Please comment or provide details below to improve the information on TAMMY DRERUP.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.