Provider Demographics
NPI:1477659068
Name:TEXAS SCHOOL OF NURSING & ALLIED HEALTH PROFESSIONALS
Entity Type:Organization
Organization Name:TEXAS SCHOOL OF NURSING & ALLIED HEALTH PROFESSIONALS
Other - Org Name:TEXAS WELLNESS HEALTH CLINIC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PROGRAM DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:LATRONICA
Authorized Official - Middle Name:TARSUNET
Authorized Official - Last Name:FISHER
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:713-256-1752
Mailing Address - Street 1:PO BOX 672342
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77267-2342
Mailing Address - Country:US
Mailing Address - Phone:713-256-1752
Mailing Address - Fax:
Practice Address - Street 1:505 N SAM HOUSTON PKWY E
Practice Address - Street 2:SUITE 146
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77060-4018
Practice Address - Country:US
Practice Address - Phone:713-256-1752
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-15
Last Update Date:2012-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX679005163WC1500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes163WC1500XNursing Service ProvidersRegistered NurseCommunity HealthGroup - Single Specialty