Provider Demographics
NPI:1205095965
Name:TODD, TAMARA NADINE (MD)
Entity type:Individual
Prefix:DR
First Name:TAMARA
Middle Name:NADINE
Last Name:TODD
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3515 RAYFORD RD # 100
Mailing Address - Street 2:
Mailing Address - City:SPRING
Mailing Address - State:TX
Mailing Address - Zip Code:77386-4364
Mailing Address - Country:US
Mailing Address - Phone:281-350-7040
Mailing Address - Fax:281-350-1636
Practice Address - Street 1:3515 RAYFORD RD # 100
Practice Address - Street 2:
Practice Address - City:SPRING
Practice Address - State:TX
Practice Address - Zip Code:77386-4364
Practice Address - Country:US
Practice Address - Phone:281-350-7040
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-06-06
Last Update Date:2022-08-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAC162807208000000X
TXP8553208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics