Individual
TAMICA PUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
11730 N MARIANNE CIR, HOUSTON, TX 77071-3414
(832) 884-7137
Mailing address
11706 N MARIANNE CIR, HOUSTON, TX 77071-3414
(832) 884-7137
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
17064586
TX
Other
Enumeration date
12/20/2019
Last updated
12/20/2019
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