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Individual

TYRA ANIA GATSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
8181 FANNIN ST APT 1516, HOUSTON, TX 77054-2922
(214) 533-8847
Mailing address
8181 FANNIN ST APT 1516, HOUSTON, TX 77054-2922
(214) 533-8847

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary

Other

Enumeration date
04/11/2022
Last updated
04/11/2022
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