Individual
TIERRA KNIGHTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3100 ROYAL ST, BAYTOWN, TX 77521-1112
(281) 736-0725
Mailing address
3100 ROYAL ST, BAYTOWN, TX 77521-1112
Taxonomy
Speciality
Code
Description
License number
State
1744P3200X
Prosthetics Case Management
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1621342
PROSTHETIC SPECIALIST
—
Enumeration date
05/26/2019
Last updated
05/26/2019
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