Individual
TYISKA NEARS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1118 AQUA VISTA LN, ROSENBERG, TX 77469-5057
(281) 505-4640
Mailing address
1118 AQUA VISTA LN, ROSENBERG, TX 77469-5057
(281) 505-4640
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
311ZA0620X
Adult Care Home Facility
—
—
Other
Enumeration date
04/18/2024
Last updated
04/18/2024
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