Individual
TARA BREAUX
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
610 STRICKLAND DR STE 270, ORANGE, TX 77630-4788
(409) 883-5600
(409) 883-3570
Mailing address
2875 JIMMY JOHNSON BLVD, STE 100, PORT ARTHUR, TX 77640-2002
(409) 729-9222
(409) 722-9425
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
AP116689
TX
Other
Enumeration date
05/15/2008
Last updated
02/10/2016
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