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Individual

TYLER WARD

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
2323 S VOSS RD STE 125H, HOUSTON, TX 77057-3867
(281) 222-3139
Mailing address
29411 EMILYS ROCK LN, KATY, TX 77494-2989
(281) 222-3139

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
032704
32704
Enumeration date
05/09/2022
Last updated
05/09/2022
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