Provider Demographics
NPI:1376043380
Name:GENTRY, MONICA PATRICIA (RN,BSN)
Entity Type:Individual
Prefix:
First Name:MONICA
Middle Name:PATRICIA
Last Name:GENTRY
Suffix:
Gender:F
Credentials:RN,BSN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3322 CABIN WOOD WAY
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77084-3587
Mailing Address - Country:US
Mailing Address - Phone:832-877-3846
Mailing Address - Fax:
Practice Address - Street 1:3322 CABIN WOOD WAY
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77084-3587
Practice Address - Country:US
Practice Address - Phone:832-877-3846
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-02-16
Last Update Date:2018-02-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX932494163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse