Provider Demographics
NPI:1417696915
Name:CAESAR, TANYA E
Entity Type:Individual
Prefix:
First Name:TANYA
Middle Name:E
Last Name:CAESAR
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 1:2909 HILLCROFT ST STE 650
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77057-5974
Mailing Address - Country:US
Mailing Address - Phone:832-686-3890
Mailing Address - Fax:
Practice Address - Street 1:2909 HILLCROFT ST STE 650
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77057-5974
Practice Address - Country:US
Practice Address - Phone:832-686-3890
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-06-02
Last Update Date:2022-06-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes374U00000XNursing Service Related ProvidersHome Health AideGroup - Single Specialty