Provider Demographics
NPI:1760740203
Name:HELLU, TASHA SHEREE (DO)
Entity Type:Individual
Prefix:DR
First Name:TASHA
Middle Name:SHEREE
Last Name:HELLU
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Gender:F
Credentials:DO
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Mailing Address - Street 1:1100 WILFORD HALL LOOP
Mailing Address - Street 2:ATTN: ALLERGY IMMUNOLOGY CLINIC
Mailing Address - City:JBSA LACKLAND
Mailing Address - State:TX
Mailing Address - Zip Code:78236-5638
Mailing Address - Country:US
Mailing Address - Phone:210-292-5715
Mailing Address - Fax:210-292-7033
Practice Address - Street 1:1100 WILFORD HALL LOOP
Practice Address - Street 2:ATTN: ALLERGY IMMUNOLOGY CLINIC
Practice Address - City:JBSA LACKLAND
Practice Address - State:TX
Practice Address - Zip Code:78236-5638
Practice Address - Country:US
Practice Address - Phone:210-292-5715
Practice Address - Fax:210-292-7033
Is Sole Proprietor?:No
Enumeration Date:2012-05-02
Last Update Date:2022-08-25
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Provider Licenses
StateLicense IDTaxonomies
NE1127208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics