Individual provider · Type 1 NPI

Tevis Deonta Victorian

Private Vehicle · Humble, TX

NPI number 1326423583 Active

Practice location

15110 Spring Sun Ct
Humble, TX 77346-1135

Mailing address

15110 Spring Sun
Humble, TX 77346

Specialties and licenses

TaxonomyCodeLicense
Private Vehicle Primary 347C00000X33853047 (TX)

Private Vehicle: An individual paid to provide non-emergency transportation using their privately owned/leased vehicle.

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About NPI 1326423583

Tevis Deonta Victorian's National Provider Identifier is 1326423583, issued on Jul 29, 2015. The primary taxonomy on file is Private Vehicle (347C00000X), and the practice location is in Humble, TX. The record was last updated on Jul 29, 2015.