Individual
BRENDA TANNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
REGISTERED NURSE
Contact information
Practice address
140 CYPRESS STATION DR # 100-34, HOUSTON, TX 77090-1633
(832) 856-8006
(281) 869-4643
Mailing address
21723 BLACK OWL DR, HUMBLE, TX 77338-1595
(281) 813-4810
(281) 869-4643
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
886469
TX
Other
Enumeration date
01/11/2018
Last updated
01/16/2020
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