Individual
TARA LEA OKULLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
AGNP-C
Contact information
Practice address
24285 KATY FWY STE 300, KATY, TX 77494-1128
(346) 387-7171
Mailing address
24285 KATY FWY STE 300, KATY, TX 77494-1128
(346) 387-7171
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
AP136830
TX
Other
Enumeration date
02/28/2018
Last updated
06/11/2024
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