Organization
TARA L WEGRYN MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TARA L WEGRYN MD (OWNER)
(713) 791-9778
Entity
Organization
Contact information
Practice address
6400 FANNIN ST, SUITE 2295, HOUSTON, TX 77030-1521
(713) 791-9778
(713) 791-9401
Mailing address
5116 BISSONNET ST, PMB 202, BELLAIRE, TX 77401-4007
(713) 791-9778
(713) 791-9401
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
J1425
TX
Other
Enumeration date
10/22/2008
Last updated
11/11/2008
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