person
Mrs. Tamara Rachelle Bavousett, RN,C-PNP
Pediatric Nurse Practitioner in Odessa, Texas
NPI 1427272749

Tamara Rachelle Bavousett is a Pediatric Nurse Practitioner based in Odessa, TX and is specialized in Pediatrics. Tamara Rachelle Bavousett practices in Odessa, TX and has the professional credentials of RN,C-PNP. The NPI Number for Tamara Rachelle Bavousett is 1427272749 and holds a License No. 657564 (Texas).

The current practice location address for Tamara Rachelle Bavousett is 5113 Wayland Dr, Odessa, TX and can be reached out via phone at 432-528-4025 and via fax at 866-298-7237.

Location: 5113 Wayland Dr, Odessa, TX, 79762-5520
person
Provider Profile Details
NPI Number
1427272749
Provider Name
Tamara Rachelle Bavousett
Credential
RN,C-PNP
Provider Entity Type
Individual
Gender
Female
Address
5113 Wayland Dr, Odessa, TX, 79762-5520
Phone Number
432-528-4025
Fax Number
866-298-7237
Provider Enumeration Date
04/11/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
214730801 05 TX
institution
Provider Business Practice Location Address Details
Address
5113 Wayland Dr
City
State
Zip
79762-5520
Phone Number
432-528-4025
Fax Number
866-298-7237
person
Provider Business Mailing Address Details
Address
5113 Wayland Dr
City
State
Zip
79762-5520
Phone Number
432-528-4025
Fax Number
866-298-7237
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Pediatrics
Taxonomy
License No.
657564 (Texas)
Definition
Definition to come...
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