Most Relevant Information
Provider Data
| NPI Number: | 1003291386 |
| Provider Name: | TARIN DOUBT HENNEGAN PA-C |
| Entity Type: | Individual |
| Taxonomy Code: | 363A00000X |
| Specialty: | Physician Assistant |
| License Number: | PA11441 |
Most Important Dates
| Enumeration Date: | 07/28/2015 |
| Last Updated: | 05/12/2023 |
Provider Practice Location
1515 HOLCOMBE BLVD
HOUSTON
TX
770304000
Practice Location Phone/Fax
| Phone: | 7137926161 |
| Fax: |
Provider Mailing Location
P O BOX 4439
HOUSTON
TX
772104439
Provider Mailing Phone/Fax
| Phone: | 7137922991 |
| Fax: |