Individual
MRS. TENISE NICOLE HORDGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4602 SPRING LAKE PKWY # 220-330, MANSFIELD, TX 76063-5590
(817) 405-9661
Mailing address
3540 E BROAD ST # 220-330, MANSFIELD, TX 76063-5633
(817) 405-9661
Taxonomy
Speciality
Code
Description
License number
State
174N00000X
Lactation Consultant (Non-RN)
Primary
—
TX
Other
Enumeration date
08/18/2021
Last updated
08/18/2021
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