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TAMMY L. PON MD NPI 1972589596


NPI Information

NPI: 1972589596
Provider Name: TAMMY L. PON, MD
Classification: Family Medicine - 207Q00000X
Entity Type: Individual
Address:
3310 LIVE OAK ST
COPC ADMINISTRATION
DALLAS, TX
ZIP 75204
Phone: (214) 266-1247
Get Directions

Tammy L. Pon, MD is a family medicine in Dallas, TX. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. Tammy L. Pon, MD NPI is 1972589596. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

3310 LIVE OAK ST
COPC ADMINISTRATION
DALLAS, TX
ZIP 75204-153
Phone: (214) 266-1247
Fax: (214) 266-1246

The enumeration date for this NPI number is 12/15/2005 and was last updated on 9/4/2009.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207Q00000XFamily MedicineJ0206TEXASYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1080182188OTHERTEXASRAILROAD MEDICARE
2102496020MEDICAIDTEXAS
3102496004MEDICAIDTEXAS
4102496003MEDICAIDTEXAS
5102496002MEDICAIDTEXAS
6102496006MEDICAIDTEXAS
7102496010MEDICAIDTEXAS
881Y187MEDICARE PINTEXAS
981Y187OTHERTEXASBLUE CROSS BLUE SHIELD
10102496014MEDICAIDTEXAS
11102496016MEDICAIDTEXAS
12102496013MEDICAIDTEXAS
13102496021MEDICAIDTEXAS
14102496005MEDICAIDTEXAS
15F81474MEDICARE UPINTEXAS
16102496007MEDICAIDTEXAS
17102496017MEDICAIDTEXAS
18102496019MEDICAIDTEXAS
19102496018MEDICAIDTEXAS

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: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.