Individual
TANYA BENNETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3900 ESSEX LN, SUITE 500, HOUSTON, TX 77027-5133
(713) 442-8700
Mailing address
11511 SHADOW CREEK PKWY, PEARLAND, TX 77584-7298
(713) 442-0000
Taxonomy
Speciality
Code
Description
License number
State
246Z00000X
Other Specialist/Technologist
Primary
15267
TX
Other
Enumeration date
07/14/2016
Last updated
07/14/2016
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