Individual
TACARA PHILLIPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
12436 FM 1960 RD W STE 191, HOUSTON, TX 77065-4809
(281) 320-1067
Mailing address
21122 SUGAR ORCHARD LANE, TOMBALL, TX 77375
(832) 515-4129
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
332U00000X
HOME DELIVERED MEALS
TX
Enumeration date
08/17/2017
Last updated
08/17/2017
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