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NPI Code Detail

MEDICARE: MS. TAMIA KELLY PHLEBOTOMY TECHNICIA

MEDICARE:  MS. TAMIA  KELLY  PHLEBOTOMY TECHNICIA
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
1246R00000XPathology Technician25-CPT126TX
2246RM2200XMedical Laboratory Technician21-56670TX
3246RP1900XPhlebotomy Technician25-CPT126TX

General Provider Information

NPI Number : 1134895790
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. TAMIA KELLY PHLEBOTOMY TECHNICIA
Provider Business Mailing Address
First Line : 6220 WESTPARK DR STE 149
Second Line :
City : HOUSTON
State : TX
Zip : 77057-7417
Country : US
Telephone Number : 713-670-8189
Fax Number :
Provider Business Practice Location Address
First Line : 6220 WESTPARK DR STE 149
Second Line :
City : HOUSTON
State : TX
Zip : 77057-7417
Country : US
Telephone Number : 713-670-8189
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/23/2021
Last Update Date : 02/09/2025

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Directions to “ MS. TAMIA KELLY PHLEBOTOMY TECHNICIA” Practice Location

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