Individual
TYNESHIA KELLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6560 FANNIN ST STE 2206, HOUSTON, TX 77030-2726
(713) 790-4615
Mailing address
5161 SAN FELIPE ST STE 320-5162, HOUSTON, TX 77056-3633
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
1218019
TX
Other
Enumeration date
05/20/2026
Last updated
05/20/2026
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