Provider Demographics
NPI:1134285562
Name:HOWERTON, DENA C (CNM)
Entity Type:Individual
Prefix:
First Name:DENA
Middle Name:C
Last Name:HOWERTON
Suffix:
Gender:F
Credentials:CNM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:201 WALLS DR STE 503
Mailing Address - Street 2:
Mailing Address - City:CLEBURNE
Mailing Address - State:TX
Mailing Address - Zip Code:76033-4006
Mailing Address - Country:US
Mailing Address - Phone:817-984-9057
Mailing Address - Fax:
Practice Address - Street 1:201 WALLS DR STE 503
Practice Address - Street 2:
Practice Address - City:CLEBURNE
Practice Address - State:TX
Practice Address - Zip Code:76033-4006
Practice Address - Country:US
Practice Address - Phone:817-984-9057
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-12-29
Last Update Date:2022-02-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAP110663367A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367A00000XPhysician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice Midwife
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX8Y8491OtherBLUE CROSS BLUE SHIELD
TX199448502Medicaid
TX199448501Medicaid
TX199448501Medicaid