Mallard, Tikisha Lavon
Mallard, Tikisha Lavon is an individual health care provider with primary practice located at 17130 Post Oak Holw , Spring TX 77379-8840. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as her primary health care specialty. Mallard, Tikisha Lavon can be contacted via phone (832) 384-8164.Contact Information
Primary practice address
17130 Post Oak Holw
Spring TX 77379-8840
Phone: (832) 384-8164
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | 1157937 | Texas |
Profile Details
| NPI number | 1518080480 |
|---|---|
| LBN Legal business name | Mallard, Tikisha Lavon |
| Credentials | Physical Therapist (PT) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 7th, 2007 |
| Last updated | Oct 2nd, 2019 - about 5 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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