Provider Demographics
NPI:1073254892
Name:COWANS, RUBY LEONA (CNA)
Entity Type:Individual
Prefix:
First Name:RUBY
Middle Name:LEONA
Last Name:COWANS
Suffix:
Gender:F
Credentials:CNA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 841683
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77284-1683
Mailing Address - Country:US
Mailing Address - Phone:832-865-2310
Mailing Address - Fax:281-463-7693
Practice Address - Street 1:15418 TYSOR PARK LN
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77095-2259
Practice Address - Country:US
Practice Address - Phone:832-865-2310
Practice Address - Fax:281-463-7693
Is Sole Proprietor?:No
Enumeration Date:2022-04-05
Last Update Date:2024-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide