Individual
MRS. TYRA C HARRELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.A.T
Contact information
Practice address
19123 FOREST TRACE DR, HUMBLE, TX 77346-5045
(832) 419-4035
Mailing address
19123 FOREST TRACE DR, HUMBLE, TX 77346-5045
(832) 419-4035
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
2381
TX
Other
Enumeration date
01/18/2017
Last updated
01/18/2017
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