Provider Demographics
NPI:1396534103
Name:SENJOBI, TIANA NICOLE
Entity type:Individual
Prefix:
First Name:TIANA
Middle Name:NICOLE
Last Name:SENJOBI
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 1:2832 WESTON RD
Mailing Address - Street 2:
Mailing Address - City:AUBREY
Mailing Address - State:TX
Mailing Address - Zip Code:76227-3323
Mailing Address - Country:US
Mailing Address - Phone:804-615-6169
Mailing Address - Fax:
Practice Address - Street 1:2832 WESTON RD
Practice Address - Street 2:
Practice Address - City:AUBREY
Practice Address - State:TX
Practice Address - Zip Code:76227-3323
Practice Address - Country:US
Practice Address - Phone:804-615-6169
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-05-06
Last Update Date:2025-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1744P3200XOther Service ProvidersSpecialistProsthetics Case ManagementGroup - Single Specialty