Individual
TAMALA NORRIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DHA, RN, BSN
Contact information
Practice address
1115 N 12TH ST, WACO, TX 76707-3121
(254) 752-5434
Mailing address
1115 N 12TH ST, WACO, TX 76707-3121
(254) 752-5434
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
145279
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
04208058
DL#
TX
Enumeration date
09/15/2021
Last updated
09/15/2021
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