| The House Of Tabitha Llc | |
|
1003 Mayflowers Ln Lancaster TX 75134-4614 | |
| (702) 672-4309 | |
| Not Available |
| Full Name | The House Of Tabitha Llc |
|---|---|
| Speciality | Clinic/center |
| Location | 1003 Mayflowers Ln, Lancaster, Texas |
| Authorized Official Name and Position | Queneshia Tillman (OWNER) |
| Authorized Official Contact | 7026724309 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| The House Of Tabitha Llc 1003 Mayflowers Ln Lancaster TX 75134-4614 Ph: () - | The House Of Tabitha Llc 1003 Mayflowers Ln Lancaster TX 75134-4614 Ph: (702) 672-4309 |
| NPI Number | 1861065435 |
|---|---|
| Provider Enumeration Date | 07/21/2021 |
| Last Update Date | 07/21/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861065435 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
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