Individual
TANEISHA RAVEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
11811 NORTH FWY, HOUSTON, TX 77060-3245
(281) 728-8482
Mailing address
11811 NORTH FWY, HOUSTON, TX 77060-3245
(281) 728-8482
Taxonomy
Speciality
Code
Description
License number
State
246RP1900X
Phlebotomy Technician
Primary
145723
TX
Other
Enumeration date
07/10/2026
Last updated
07/10/2026
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