Provider Demographics
NPI:1518516913
Name:HESTER, LINDA K
Entity Type:Individual
Prefix:MRS
First Name:LINDA
Middle Name:K
Last Name:HESTER
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 1:715 OKLAHOMA AVE
Mailing Address - Street 2:
Mailing Address - City:BACLIFF
Mailing Address - State:TX
Mailing Address - Zip Code:77518
Mailing Address - Country:US
Mailing Address - Phone:409-466-3368
Mailing Address - Fax:
Practice Address - Street 1:715 OKLAHOMA AVE
Practice Address - Street 2:
Practice Address - City:BACLIFF
Practice Address - State:TX
Practice Address - Zip Code:77518
Practice Address - Country:US
Practice Address - Phone:409-466-3368
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-09-09
Last Update Date:2019-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747A0650XNursing Service Related ProvidersTechnicianAttendant Care Provider