Provider Demographics
NPI:1073359295
Name:COOPER-HUGHES, TAMMY E
Entity type:Individual
Prefix:MRS
First Name:TAMMY
Middle Name:E
Last Name:COOPER-HUGHES
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:924 CAPOTE OAKS DR
Mailing Address - Street 2:
Mailing Address - City:SEGUIN
Mailing Address - State:TX
Mailing Address - Zip Code:78155-9614
Mailing Address - Country:US
Mailing Address - Phone:830-243-8753
Mailing Address - Fax:
Practice Address - Street 1:2115 STEPHENS PL STE 810
Practice Address - Street 2:
Practice Address - City:NEW BRAUNFELS
Practice Address - State:TX
Practice Address - Zip Code:78130-2163
Practice Address - Country:US
Practice Address - Phone:830-243-8753
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-07-08
Last Update Date:2024-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician