Organization
TESSLA DIAGNOSTICS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARK EDWARD FARIAS (MANAGING MEMBER)
(713) 576-6903
Entity
Organization
Contact information
Practice address
22820 I-45, BLDG 4-C, SPRING, TX 77373-0000
(713) 576-6903
Mailing address
PO BOX 9359, THE WOODLANDS, TX 77387-9359
(713) 576-6903
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
—
Other
Enumeration date
05/09/2013
Last updated
05/09/2013
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