Individual
TEASA L CORMIER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
505 CYPRESS STATION DR APT 1808, HOUSTON, TX 77090-1616
(832) 721-1918
Mailing address
23019 GOOD DALE LN, SPRING, TX 77373-7009
(832) 721-1918
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
—
—
Other
Enumeration date
10/27/2010
Last updated
10/27/2010
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