Provider Demographics
NPI:1134311590
Name:CHARLES, RHEA GIANNA
Entity Type:Individual
Prefix:MRS
First Name:RHEA
Middle Name:GIANNA
Last Name:CHARLES
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2626 S LOOP W
Mailing Address - Street 2:SUITE 320
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77054-2649
Mailing Address - Country:US
Mailing Address - Phone:713-665-8474
Mailing Address - Fax:713-665-8919
Practice Address - Street 1:2626 S LOOP W
Practice Address - Street 2:SUITE 320
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77054-2653
Practice Address - Country:US
Practice Address - Phone:713-665-8474
Practice Address - Fax:713-665-8919
Is Sole Proprietor?:Yes
Enumeration Date:2007-08-09
Last Update Date:2009-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXF007790172V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes172V00000XOther Service ProvidersCommunity Health WorkerGroup - Multi-Specialty