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Individual

DR. GABRIEL TAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PH.D

Contact information

Practice address
9525 KATY FREEWAY, STE 200, HOUSTON, TX 77024
(346) 702-8936
(713) 794-7674
Mailing address
1259 MISTY LAKE COURT, SUGAR LAND, TX 77498-5613
(346) 702-8936
(713) 794-7674

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
24013
TX
103TH0100X
Health Service Psychologist
24013
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
033150602
TX
Enumeration date
08/19/2006
Last updated
06/29/2022
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