Tara Jene Wilson LSA

NPI 1003134347 - Specialist/Technologist, Other - 246ZC0007X

NPI Details
NPI 1003134347
Gender Female
Enumeration Date 05/11/2010
Last Updated 11/25/2014
Entity Type Individual
Active Over 6 years ago
Practice Location
9800 CENTRE PKWY
530
HOUSTON TX, 77036-8271, US
Phone (713) 777-4539
Fax (713) 583-2061
Business Location
9800 CENTRE PKWY
530
HOUSTON TX, 77036-8271, US
Phone (713) 777-4539
Fax (713) 583-2061
Toxanomy
Taxonomy Code 246ZC0007X
License State Texas
License Number SA00516
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According to our database, Ms. Tara Jene Wilson LSA NPI is 1003134347, taxonomy code is 246ZC0007X and license number is SA00516, license state is located at Texas. Tara Jene Wilson LSA physically located at 9800 Centre Pkwy, Houston TX, 77036-8271. NPI Number Tara Jene Wilson LSA has the Individual type.

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1003134347 NPI number is provided on an as is basis without warranty of any kind. 1003134347 is maintained by the National Plan & Provider Enumeration System. The contents of Tara Jene Wilson LSA are for informational purposes only.