Provider Demographics
NPI:1700671534
Name:OLIVER, TAMRA HEMPHILL (LCCA)
Entity type:Individual
Prefix:
First Name:TAMRA
Middle Name:HEMPHILL
Last Name:OLIVER
Suffix:
Gender:F
Credentials:LCCA
Other - Prefix:
Other - First Name:TAMRA
Other - Middle Name:
Other - Last Name:HEMPHILL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LCCA
Mailing Address - Street 1:19707 MOSS BARK TRL
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:TX
Mailing Address - Zip Code:77407-4040
Mailing Address - Country:US
Mailing Address - Phone:713-446-3781
Mailing Address - Fax:832-945-3171
Practice Address - Street 1:5015 PARKRIDGE DR
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77053-5207
Practice Address - Country:US
Practice Address - Phone:713-446-3781
Practice Address - Fax:832-945-3171
Is Sole Proprietor?:Yes
Enumeration Date:2025-04-11
Last Update Date:2025-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes376J00000XNursing Service Related ProvidersHomemakerGroup - Multi-Specialty