Tatiana Dejanie Darthard

NPI #1750192860 in Longview, Texas

Provider Information

NPI Number: 1750192860
Entity Type: Individual
Name: Tatiana Dejanie Darthard
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Case Manager/Care Coordinator
Enumeration Date: Jan 17, 2025
Last Updated: Jan 17, 2025

Practice Location

Address: 1904 BUCCANEER DR
City: Longview
State: Texas
ZIP Code: 75604-2009
Phone: (903) 261-6458

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Case Manager/Care Coordinator	171M00000X	Primary

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