Provider Demographics
NPI:1437507993
Name:AWLS, LYNETTE
Entity Type:Individual
Prefix:MRS
First Name:LYNETTE
Middle Name:
Last Name:AWLS
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 1:9301 DAIRY VIEW LN
Mailing Address - Street 2:SUITE 1407
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77099-1396
Mailing Address - Country:US
Mailing Address - Phone:281-690-2907
Mailing Address - Fax:
Practice Address - Street 1:9301 DAIRY VIEW LN
Practice Address - Street 2:SUITE 1407
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77099-1396
Practice Address - Country:US
Practice Address - Phone:281-690-2907
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-05-25
Last Update Date:2016-05-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide
No372600000XNursing Service Related ProvidersAdult Companion
No3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant