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Individual

TAIRRA LANEA COUTEE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
15627 KIPPERS DR, HOUSTON, TX 77014-1543
(832) 375-0808
Mailing address
15627 KIPPERS DR, HOUSTON, TX 77014-1543
(832) 375-0808

Taxonomy

Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
823589822
TX
Enumeration date
12/04/2017
Last updated
12/04/2017
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