Provider Demographics
NPI:1154078822
Name:D AND P MOBILE PHLEBOTOMIST
Entity Type:Organization
Organization Name:D AND P MOBILE PHLEBOTOMIST
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHLEBOTOMIST
Authorized Official - Prefix:MRS
Authorized Official - First Name:NAPREYIA
Authorized Official - Middle Name:SHANEA
Authorized Official - Last Name:ANGEL
Authorized Official - Suffix:
Authorized Official - Credentials:PHLEBOTOMY
Authorized Official - Phone:832-902-1619
Mailing Address - Street 1:1531 HADE FALLS LN
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77073
Mailing Address - Country:US
Mailing Address - Phone:832-902-1619
Mailing Address - Fax:
Practice Address - Street 1:1531 HADE FALLS LN
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77073-6181
Practice Address - Country:US
Practice Address - Phone:832-902-1619
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-03-03
Last Update Date:2022-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QC1500XAmbulatory Health Care FacilitiesClinic/CenterCommunity Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXG6S9S3X4OtherPHLEBOTOMIST