Provider Demographics
NPI:1235740515
Name:SIAHA, VALERIE CLAUDIA (FNP)
Entity Type:Individual
Prefix:
First Name:VALERIE
Middle Name:CLAUDIA
Last Name:SIAHA
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1201 S ALLEN GENOA RD
Mailing Address - Street 2:
Mailing Address - City:SOUTH HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77587-4464
Mailing Address - Country:US
Mailing Address - Phone:173-910-0000
Mailing Address - Fax:
Practice Address - Street 1:1201 S ALLEN GENOA RD
Practice Address - Street 2:
Practice Address - City:SOUTH HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77587-4464
Practice Address - Country:US
Practice Address - Phone:713-910-0000
Practice Address - Fax:713-910-0001
Is Sole Proprietor?:Yes
Enumeration Date:2020-08-11
Last Update Date:2020-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAP143731363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily