Individual
MS. TAMIA KELLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHLEBOTOMY TECHNICIA
Contact information
Practice address
6220 WESTPARK DR STE 149, HOUSTON, TX 77057-7417
(713) 670-8189
Mailing address
6220 WESTPARK DR STE 149, HOUSTON, TX 77057-7417
(713) 670-8189
Taxonomy
Speciality
Code
Description
License number
State
246R00000X
Pathology Technician
25-CPT126
TX
246RM2200X
Medical Laboratory Technician
21-56670
TX
246RP1900X
Phlebotomy Technician
Primary
25-CPT126
TX
Other
Enumeration date
08/23/2021
Last updated
02/09/2025
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