Provider Demographics
NPI:1437463015
Name:LEWIS, RITA ANNETTE (PRIVATE CAREGIVER)
Entity Type:Individual
Prefix:MS
First Name:RITA
Middle Name:ANNETTE
Last Name:LEWIS
Suffix:
Gender:F
Credentials:PRIVATE CAREGIVER
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5531 RUE ST
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77033-3317
Mailing Address - Country:US
Mailing Address - Phone:832-884-9341
Mailing Address - Fax:
Practice Address - Street 1:5531 RUE ST
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77033-3317
Practice Address - Country:US
Practice Address - Phone:832-884-9341
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-08-05
Last Update Date:2010-08-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1089812374U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide