Individual
DAKARI SPORTSMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
611 SUNSET COLONY DR, ROSHARON, TX 77583-6577
(225) 361-4093
Mailing address
611 SUNSET COLONY DR, ROSHARON, TX 77583-6577
(225) 361-4093
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
955613
TX
Other
Enumeration date
05/06/2019
Last updated
05/06/2019
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