Provider Demographics
NPI:1326520958
Name:BOOKER-REED, TANGANEKA
Entity Type:Individual
Prefix:
First Name:TANGANEKA
Middle Name:
Last Name:BOOKER-REED
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:806 TUSCAN RD
Mailing Address - Street 2:
Mailing Address - City:HARKER HEIGHTS
Mailing Address - State:TX
Mailing Address - Zip Code:76548-8694
Mailing Address - Country:US
Mailing Address - Phone:254-462-7192
Mailing Address - Fax:
Practice Address - Street 1:806 TUSCAN RD
Practice Address - Street 2:
Practice Address - City:HARKER HEIGHTS
Practice Address - State:TX
Practice Address - Zip Code:76548-8694
Practice Address - Country:US
Practice Address - Phone:254-462-7192
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-08-30
Last Update Date:2018-08-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX802293163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse