Individual
MISS CELIA TISDELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5006 EVENING MOON LN, KATY, TX 77449-5400
(346) 978-6097
Mailing address
6037 FRY RD STE 126, KATY, TX 77449-1804
(346) 978-6097
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
—
TX
3747P1801X
Personal Care Attendant
Primary
—
TX
376K00000X
Nurse's Aide
—
TX
Other
Enumeration date
11/17/2022
Last updated
11/17/2022
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