Provider Demographics
NPI:1306049440
Name:HOWARD, TOMMY EUGENE (MD)
Entity type:Individual
Prefix:DR
First Name:TOMMY
Middle Name:EUGENE
Last Name:HOWARD
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:1500 VOORHEES AVE
Mailing Address - Street 2:
Mailing Address - City:MANHATTAN BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:90266-7042
Mailing Address - Country:US
Mailing Address - Phone:404-597-8014
Mailing Address - Fax:310-268-4381
Practice Address - Street 1:11301 WILSHIRE BLVD BLDG 500
Practice Address - Street 2:DEPT. OF PATHOLOGY & LABORATORY MEDICINE
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90073-1003
Practice Address - Country:US
Practice Address - Phone:310-478-3711
Practice Address - Fax:310-268-4983
Is Sole Proprietor?:No
Enumeration Date:2007-06-07
Last Update Date:2007-08-22
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
GA039131170100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes170100000XOther Service ProvidersMedical Genetics, Ph.D. Medical Genetics