Provider Demographics
NPI:1184867970
Name:MINIX, RHONDA (LVN)
Entity Type:Individual
Prefix:MRS
First Name:RHONDA
Middle Name:
Last Name:MINIX
Suffix:
Gender:F
Credentials:LVN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15342 SOUTHWOOD TRACE LN
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77049-1545
Mailing Address - Country:US
Mailing Address - Phone:713-494-8976
Mailing Address - Fax:
Practice Address - Street 1:15342 SOUTHWOOD TRACE LN
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77049-1545
Practice Address - Country:US
Practice Address - Phone:713-494-8976
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-04-09
Last Update Date:2009-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX164W00000X164X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164X00000XNursing Service ProvidersLicensed Vocational Nurse