Individual
MRS. TINA L SAMPLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1428 PARK CREST DR, CROWLEY, TX 76036-3466
(214) 697-6063
(817) 378-4963
Mailing address
1428 PARK CREST DR, CROWLEY, TX 76036-3466
(214) 697-6063
(469) 520-5957
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
05/17/2014
Last updated
07/08/2022
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