Provider Demographics
NPI:1467650028
Name:NORRIS, RHODA (CERTIFICATION)
Entity Type:Individual
Prefix:
First Name:RHODA
Middle Name:
Last Name:NORRIS
Suffix:
Gender:F
Credentials:CERTIFICATION
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2331 AUTUMN SPRINGS LN
Mailing Address - Street 2:
Mailing Address - City:SPRING
Mailing Address - State:TX
Mailing Address - Zip Code:77373-6155
Mailing Address - Country:US
Mailing Address - Phone:281-515-0233
Mailing Address - Fax:832-519-1040
Practice Address - Street 1:2331 AUTUMN SPRINGS LN
Practice Address - Street 2:
Practice Address - City:SPRING
Practice Address - State:TX
Practice Address - Zip Code:77373-6155
Practice Address - Country:US
Practice Address - Phone:281-515-0233
Practice Address - Fax:832-519-1040
Is Sole Proprietor?:Yes
Enumeration Date:2007-07-05
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator