Individual
TAFRICA SHANTA LAWRENCE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
9915 HANNON DR, HOUSTON, TX 77040-1701
(832) 230-0485
Mailing address
9915 HANNON DR, HOUSTON, TX 77040-1701
(832) 230-0485
(713) 983-8373
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
—
TX
Other
Enumeration date
05/04/2015
Last updated
05/04/2015
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