Provider Demographics
NPI:1013362797
Name:CHOATE, MONICA (LVN)
Entity Type:Individual
Prefix:MISS
First Name:MONICA
Middle Name:
Last Name:CHOATE
Suffix:
Gender:F
Credentials:LVN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10 PRIVATE ROAD 13261
Mailing Address - Street 2:UNIT B
Mailing Address - City:TEXARKANA
Mailing Address - State:TX
Mailing Address - Zip Code:75501-1227
Mailing Address - Country:US
Mailing Address - Phone:214-641-7176
Mailing Address - Fax:
Practice Address - Street 1:10 PRIVATE ROAD 13261
Practice Address - Street 2:UNIT B
Practice Address - City:TEXARKANA
Practice Address - State:TX
Practice Address - Zip Code:75501-1227
Practice Address - Country:US
Practice Address - Phone:214-641-7176
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-04-29
Last Update Date:2016-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX229922164X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164X00000XNursing Service ProvidersLicensed Vocational Nurse