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NPI Code Detail

MEDICARE: MS. LORI H TABB LCSW

MEDICARE:  MS. LORI H TABB  LCSW
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
11041C0700XClinical Social Worker34075TX

General Provider Information

NPI Number : 1619180684
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. LORI H TABB LCSW
Provider Business Mailing Address
First Line : 7115 W TIDWELL RD
Second Line :
City : HOUSTON
State : TX
Zip : 77092-2059
Country : US
Telephone Number : 713-934-8121
Fax Number : 713-934-8092
Provider Business Practice Location Address
First Line : 7115 W TIDWELL RD
Second Line :
City : HOUSTON
State : TX
Zip : 77092-2059
Country : US
Telephone Number : 713-934-8121
Fax Number : 713-934-8092
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/07/2007
Last Update Date : 07/09/2007

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Directions to “ MS. LORI H TABB LCSW” Practice Location

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