Tama Industries

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

TAMA INDUSTRIES

Doing business as

Exposure Explosion Hybrid Wellness Mobile Center

Practice address

907 Peggotty PL
Austin, TX 78753-6932

Phone

(210) 238-4427

NPI assigned

Mar 27, 2023

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dynasty Holland

Title

Owner/Founder

Phone

(210) 238-4427

Specialties & licenses 1

Addresses

Other names 1

• Exposure Explosion Hybrid Wellness Mobile Center Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Latonya Foster

  • Phlebotomy Technician
  • Austin, TX
  • NPI 1598466393
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1679875200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1679875200000",
    "number": "1861196610",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "907 PEGGOTTY PL",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787536932",
            "telephone_number": "210-238-4427"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "907 PEGGOTTY PL",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787536932",
            "telephone_number": "210-238-4427"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TAMA INDUSTRIES",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-27",
        "last_updated": "2023-03-27",
        "certification_date": "2023-03-27",
        "status": "A",
        "authorized_official_last_name": "HOLLAND",
        "authorized_official_first_name": "DYNASTY",
        "authorized_official_title_or_position": "OWNER/FOUNDER",
        "authorized_official_telephone_number": "210-238-4427"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Exposure Explosion Hybrid Wellness Mobile Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Samantha Ann Tally, PHARM.D.
• Maighdlin Talo
• Feroza Talukdar
• Istiaque Talukder
• Collin Edward Tam, O.D.
• Tamara Lee Young LLC
• Alenna Tamayo, CPNP-AC
• Ashley Tamayo
• Jerrel Faith Tamayo
• Kristen Kelly Tamblyn, CPM, LM

• Clinic/Center in Austin, TX
• Providers in Austin, TX by specialty
• Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.