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)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
Provider Address
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