Organization

Tamyra Comeaux

Exclusive Provider Organization in Houston, TX(View on Map)

Legal Business Name

Tamyra Comeaux

NPI Number

1851798425

NPI Type

Organization

Enumeration Date

11/26/2014

Specialties

(Taxonomies)

Code

302F00000X

Primary Taxonomy

Yes

Licenses

State

Texas

License Number

L0096

Contact
Information

Purpose

Mailing
Location

Address

11811 FM 1960 RD W
11811 FM 1960 RD W

City

Houston
Houston

State

TX
TX

Postal Code

77065-3827
77065-3827

Country

US
US

Telephone Number

(832) 237-4269
(832) 237-4269

Authorized Official

Name

Mrs. Rhonda Dallas

Title or Position

PRACTICE ADMINISTRATOR

Telephone Number

(832) 237-4269

Identifiers

Identifier

030224201

Identifier State

TX

Identifier Issuer

Unknown

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 11/26/2014

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