Most Relevant Information
Provider Data
| NPI Number: | 1003369026 |
| Provider Name: | TINA PHE |
| Entity Type: | Individual |
| Taxonomy Code: | 235Z00000X |
| Specialty: | Speech-Language Pathologist |
| License Number: | 111839 |
Most Important Dates
| Enumeration Date: | 07/26/2016 |
| Last Updated: | 07/26/2016 |
Provider Practice Location
4423 SHADOWDALE DR
HOUSTON
TX
770418718
Practice Location Phone/Fax
| Phone: | 7134666872 |
| Fax: | 7134669547 |
Provider Mailing Location
4423 SHADOWDALE DR
HOUSTON
TX
770418718
Provider Mailing Phone/Fax
| Phone: | 7134666872 |
| Fax: | 7134669547 |