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Dr. Owatha Loye Tatum, PHD,HCLD/CC(ABB)
Medical Geneticist (PhD) Specialist/Technologist in Lubbock, Texas
NPI 1639517386

Owatha Loye Tatum is a Medical Geneticist (PhD) Specialist/Technologist based in Lubbock, TX and is specialized in Geneticist, Medical (PhD). Owatha Loye Tatum practices in Lubbock, TX and has the professional credentials of PHD,HCLD/CC(ABB). The NPI Number for Owatha Loye Tatum is 1639517386 and holds a License No. DI43809 (Texas).

The current practice location address for Owatha Loye Tatum is 3415 56Th St, Lubbock, TX and can be reached out via phone at 806-797-2879.

Location: 3415 56Th St, Lubbock, TX, 79413-4745
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1639517386
Provider Name
Owatha Loye Tatum
Credential
PHD,HCLD/CC(ABB)
Provider Entity Type
Individual
Gender
Female
Address
3415 56Th St, Lubbock, TX, 79413-4745
Phone Number
806-797-2879
Fax Number
Provider Enumeration Date
06/04/2013
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
3415 56Th St
City
Lubbock
State
Texas
Zip
79413-4745
Phone Number
806-797-2879
Fax Number
person
Provider Business Mailing Address Details
Address
3415 56Th St
City
Lubbock
State
Texas
Zip
79413-4745
Phone Number
806-797-2879
Fax Number
person
Provider's Taxonomy Details 1
Type
Technologists, Technicians & Other Technical Service Providers
Classification
Specialist/Technologist, Other
Speciality
Geneticist, Medical (PhD)
Taxonomy
246ZG1000X
License No.
TATU01 (New York)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Technologists, Technicians & Other Technical Service Providers
Classification
Technician, Pathology
Speciality
Clinical Laboratory Director, Non-physician
Taxonomy
247ZC0005X
License No.
DI43809 (Florida)
Definition
An individual who is state-licensed as a clinical laboratory director and meets the qualifications in the Clinical Laboratory Improvement Amendments of 1988 for non-physicians (non-MD/DO) as defined in the CFR 42 Part 493.1405.
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