Individual
SHEENA TAVANA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CNIM
Contact information
Practice address
251 E SOUTHLAKE BLVD, SOUTHLAKE, TX 76092-6269
(817) 424-0971
Mailing address
251 E SOUTHLAKE BLVD, SOUTHLAKE, TX 76092-6269
Taxonomy
Speciality
Code
Description
License number
State
246ZE0600X
Electroneurodiagnostic Specialist/Technologist
Primary
—
—
Other
Enumeration date
08/17/2017
Last updated
08/17/2017
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