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NPI Code Detail

MEDICARE: TRESSYRE WASHINGTON

MEDICARE:   TRESSYRE  WASHINGTON
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
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General Provider Information

NPI Number : 1073472221
Entity Type Code : Individual
Provider Name (Legal Business Name) : TRESSYRE WASHINGTON
Provider Business Mailing Address
First Line : 1605 PARADISE HILL RD
Second Line :
City : CLARKSVILLE
State : TN
Zip : 37043-5147
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 4926 COTTON RIDGE TRL
Second Line :
City : HOUSTON
State : TX
Zip : 77053-5332
Country : US
Telephone Number : 931-429-6732
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/21/2026
Last Update Date : 01/22/2026

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Directions to “ TRESSYRE WASHINGTON ” Practice Location

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