Provider Demographics
NPI:1841870938
Name:CORREA, TANIA ANGELICA (CPTECH)
Entity type:Individual
Prefix:MRS
First Name:TANIA
Middle Name:ANGELICA
Last Name:CORREA
Suffix:
Gender:F
Credentials:CPTECH
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:25675 NELSON WAY
Mailing Address - Street 2:
Mailing Address - City:KATY
Mailing Address - State:TX
Mailing Address - Zip Code:77494-5904
Mailing Address - Country:US
Mailing Address - Phone:281-574-1808
Mailing Address - Fax:281-574-1813
Practice Address - Street 1:25675 NELSON WAY
Practice Address - Street 2:
Practice Address - City:KATY
Practice Address - State:TX
Practice Address - Zip Code:77494-5904
Practice Address - Country:US
Practice Address - Phone:281-574-1808
Practice Address - Fax:281-574-1813
Is Sole Proprietor?:No
Enumeration Date:2021-04-12
Last Update Date:2021-04-12
Deactivation Date:
Deactivation Code:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183700000XPharmacy Service ProvidersPharmacy Technician