Provider Demographics
NPI:1790651776
Name:HUME, TABITHA (CPHT)
Entity type:Individual
Prefix:
First Name:TABITHA
Middle Name:
Last Name:HUME
Suffix:
Gender:F
Credentials:CPHT
Other - Prefix:
Other - First Name:TABITHA
Other - Middle Name:
Other - Last Name:HUME-EFFINGER
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:CPHT
Mailing Address - Street 1:5808 BURNET RD
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78756-1100
Mailing Address - Country:US
Mailing Address - Phone:512-454-6691
Mailing Address - Fax:
Practice Address - Street 1:5808 BURNET RD
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78756-1100
Practice Address - Country:US
Practice Address - Phone:512-454-6691
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-10-15
Last Update Date:2025-10-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX255066183700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183700000XPharmacy Service ProvidersPharmacy Technician