Individual
TORRIAN TATUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
IDMT
Contact information
Practice address
2050A 2ND ST SE, KIRTLAND AFB, NM 87117-7704
(505) 846-2396
Mailing address
1313 SYDNOR ST, HOUSTON, TX 77020-8237
Taxonomy
Speciality
Code
Description
License number
State
1710I1003X
Independent Duty Medical Technicians
Primary
—
TX
Other
Enumeration date
04/05/2019
Last updated
05/15/2023
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