Individual
MS. KELLY RENA TIRAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LVM
Contact information
Practice address
12371 S KIRKWOOD RD, STAFFORD, TX 77477-2836
(713) 995-9292
Mailing address
5091 AKUMAL CALLE, DICKINSON, TX 77539-4098
(281) 235-7992
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
220268
TX
Other
Enumeration date
02/21/2018
Last updated
02/21/2018
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