Individual
MRS. TEASIA SHIKELIA HAGAN-SHOCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5527 IRISH HILL DR, HOUSTON, TX 77053-3519
(832) 542-3954
Mailing address
5527 IRISH HILL DR, HOUSTON, TX 77053-3519
(832) 542-3954
Taxonomy
Speciality
Code
Description
License number
State
347C00000X
Private Vehicle
Primary
LLC6962
TX
Other
Enumeration date
11/01/2019
Last updated
11/01/2019
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