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1447726260
TANWIE P TITA
HOUSTON, TX
NPI
1447726260
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
Additional Taxonomies
363A00000X Physician Assistant
(Licence: TX PA12411)
Enumeration Date
2018-10-18
Last Update Date
2023-08-17
Business Address
TANWIE P TITA PA
6720 BERTNER AVE
HOUSTON, TX 77030-2604
Phone number: 832-355-6029
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Mailing Address
TANWIE P TITA PA
23115 BRANDYGATE CT
SPRING, TX 77373-8143
Phone number: 281-475-8311
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