Individual
TERRI DIANE KIMBLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
31223 ALICE LN, TOMBALL, TX 77375-4057
(832) 444-3286
Mailing address
31223 ALICE LN, TOMBALL, TX 77375-4057
(832) 444-3286
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
1056567
TX
Other
Enumeration date
10/08/2021
Last updated
10/08/2021
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