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
| Taxonomy | Code | License |
|---|---|---|
| Private Vehicle Primary | 347C00000X | 33853047 (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.