DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. OWATHA LOYE TATUM, PH.D., HCLD/CC(ABB)

Active Sole Proprietor

DR. OWATHA LOYE TATUM, PH.D., HCLD/CC(ABB) is a 247ZC0005X healthcare provider located in LUBBOCK, Texas. NPI 1639517386 is currently active in the NPPES registry. Verify at CMS.

247ZC0005X · LUBBOCK, TX

Registration Details

NPI Number
1639517386
Provider Type
Individual
Gender
Female
NPI Issued
Jun 4, 2013 (13.205240605668 yrs)
Last Updated
Jun 22, 2015
Licenses
DI43809 (FL)
TATU01 (NY)
Sole Proprietor
Yes

Practice Information

Address
3415 56TH ST
LUBBOCK, TX, 794134745
Browse TX providers · Browse ZIP 79413
Phone
8067972879
Primary Specialty
247ZC0005X
247ZC0005X
Additional Specialty
Radiographer

Other 247ZC0005X Providers in LUBBOCK, TX

Name Credential NPI
DR. BERTRAND TANKOUO SANDJONG PH.D., D(ABMM) 1386291565
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.