Provider Demographics
NPI:1437579810
Name:LAUREL, DANNA RAE (COTA)
Entity Type:Individual
Prefix:
First Name:DANNA
Middle Name:RAE
Last Name:LAUREL
Suffix:
Gender:F
Credentials:COTA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14515 BRIARHILLS PKWY
Mailing Address - Street 2:SUITE 208
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77077-1000
Mailing Address - Country:US
Mailing Address - Phone:713-575-2000
Mailing Address - Fax:
Practice Address - Street 1:14515 BRIARHILLS PKWY
Practice Address - Street 2:SUITE 208
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77077-1000
Practice Address - Country:US
Practice Address - Phone:713-575-2000
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-04-23
Last Update Date:2014-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX212349251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health