Provider Demographics
NPI:1164897914
Name:DOTSON, CHINEZA
Entity Type:Individual
Prefix:
First Name:CHINEZA
Middle Name:
Last Name:DOTSON
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 1:10101 FONDREN RD
Mailing Address - Street 2:330
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77096-4564
Mailing Address - Country:US
Mailing Address - Phone:713-364-2026
Mailing Address - Fax:713-568-7079
Practice Address - Street 1:10101 FONDREN RD
Practice Address - Street 2:330
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77096-4564
Practice Address - Country:US
Practice Address - Phone:713-364-2026
Practice Address - Fax:713-568-7079
Is Sole Proprietor?:No
Enumeration Date:2015-12-04
Last Update Date:2015-12-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator
No171W00000XOther Service ProvidersContractor