Provider Demographics
NPI:1194373811
Name:DURAN-PRATER, ADELA (RN)
Entity Type:Individual
Prefix:MRS
First Name:ADELA
Middle Name:
Last Name:DURAN-PRATER
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8311 HILLS PKWY
Mailing Address - Street 2:
Mailing Address - City:MONTGOMERY
Mailing Address - State:TX
Mailing Address - Zip Code:77316-9522
Mailing Address - Country:US
Mailing Address - Phone:713-269-1296
Mailing Address - Fax:
Practice Address - Street 1:8311 HILLS PKWY
Practice Address - Street 2:
Practice Address - City:MONTGOMERY
Practice Address - State:TX
Practice Address - Zip Code:77316-9522
Practice Address - Country:US
Practice Address - Phone:713-269-1296
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-08-27
Last Update Date:2019-08-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747A0650XNursing Service Related ProvidersTechnicianAttendant Care Provider