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NPI Code Detail

MEDICARE: MS. TANYA DELORES MOORE COUNSELOR

MEDICARE:  MS. TANYA DELORES MOORE  COUNSELOR
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1146N00000XBasic Emergency Medical TechnicianTX

General Provider Information

NPI Number : 1548455678
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. TANYA DELORES MOORE COUNSELOR
Provider Business Mailing Address
First Line : 5002 RICKY ST
Second Line : 5002 RICKY
City : HOUSTON
State : TX
Zip : 77033-4317
Country : US
Telephone Number : 832-890-0988
Fax Number : 713-734-7314
Provider Business Practice Location Address
First Line : 5002 RICKY ST
Second Line :
City : HOUSTON
State : TX
Zip : 77033-4317
Country : US
Telephone Number : 832-890-0988
Fax Number : 713-734-7314
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/12/2007
Last Update Date : 09/12/2007

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Directions to “ MS. TANYA DELORES MOORE COUNSELOR” Practice Location

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