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Individual

TANESHA AUSTIN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
5010 LAURA LEE LN, PASADENA, TX 77504-2380
(832) 275-2505
(713) 750-9187
Mailing address
PO BOX 24648, HOUSTON, TX 77229-4648
(832) 470-5764
(832) 404-2442

Taxonomy

Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1265859474
TX
Enumeration date
03/25/2014
Last updated
03/29/2022
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