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1366062416
TANNER LINES
HOUSTON, TX
NPI
1366062416
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2020-04-19
Last Update Date
2020-04-19
Business Address
TANNER LINES MD
6431 FANNIN ST STE MSB 1134
HOUSTON, TX 77030-1501
Phone number: 713-500-6500
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Mailing Address
TANNER LINES MD
517 ARBOR BROOK LN
COPPELL, TX 75019-4044
Phone number: 214-202-5897
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