DANDEWELL NPI 1053287771

NPI Information

  • NPI: 1053287771
  • Provider Name: DANDEWELL
  • Classification: Clinic/Center - 261QH0100X
  • Specialization: Health Service
  • Entity Type: Organization
  • Address: 255 E JOHNSON ST
    TATUM, TX
    ZIP 75691
  • Phone: (903) 265-2710

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NPI Details

DANDEWELL is a health service clinic center in Tatum, TX. DANDEWELL NPI is 1053287771. The provider is registered as an organization entity type.

The provider's business location address is:

255 E JOHNSON ST
TATUM, TX
ZIP 75691-914
Phone: (903) 265-2710

The provider's authorized official is Tammy Lynn Tubbleville .
The authorized official title is Registered Dietitian and has the following contact phone number (903) 265-2710.

The enumeration date for this NPI number is 10/13/2025 and was last updated on 10/13/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QH0100XClinic/CenterHealth ServiceYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

NPI Synchronization or Removal

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