Provider Demographics
NPI:1306411707
Name:ADAMS, CARLETA LYNELLE
Entity Type:Individual
Prefix:
First Name:CARLETA
Middle Name:LYNELLE
Last Name:ADAMS
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:PO BOX 14367
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77221-4367
Mailing Address - Country:US
Mailing Address - Phone:832-352-2094
Mailing Address - Fax:
Practice Address - Street 1:12218 HILLCROFT ST
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77035-4221
Practice Address - Country:US
Practice Address - Phone:832-352-2094
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-05-26
Last Update Date:2021-05-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
No251E00000XAgenciesHome Health