Individual
XUE LI SAMANTHA TAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MED
Contact information
Practice address
7200 CAMBRIDGE ST, HOUSTON, TX 77030-4202
(832) 732-9709
Mailing address
2202 BOLSOVER ST, HOUSTON, TX 77005-2624
(832) 732-9709
Taxonomy
Speciality
Code
Description
License number
State
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
—
—
Other
Enumeration date
07/05/2024
Last updated
07/05/2024
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