Individual
MRS. TANYA LANE BODO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
117 S WILLIAM BARNETT AVE, SUITE A, CLEVELAND, TX 77327-4541
(281) 593-1660
Mailing address
117 S WILLIAM BARNETT AVE, SUITE A, CLEVELAND, TX 77327-4541
(281) 593-1660
Taxonomy
Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
727251
TX
Other
Enumeration date
08/16/2007
Last updated
08/16/2007
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