Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
TAMRA LEI BOTELER
ActivePediatric Nutrition · MIDLOTHIAN, TX
Registration Details
- NPI Number
- 1194075762
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Sep 11, 2012 (13.626006420688 yrs)
- Last Updated
- Apr 7, 2014
- License
-
DT81661 (TX)
Practice Information
- Address
-
4440 E HIGHWAY 287MIDLOTHIAN, TX, 760655576Browse TX providers · Browse ZIP 76065
- Phone
- 9727235590
- Primary Specialty
-
Pediatric Nutrition
133VN1004X
- Additional Specialty
- Pediatric Nutrition
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.