Provider Demographics
NPI:1568757193
Name:POPE, TONIA DENISE (LVN)
Entity Type:Individual
Prefix:MS
First Name:TONIA
Middle Name:DENISE
Last Name:POPE
Suffix:
Gender:F
Credentials:LVN
Other - Prefix:PROF
Other - First Name:TONIA
Other - Middle Name:DENISE
Other - Last Name:POPE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LVN
Mailing Address - Street 1:12424 STEEPLE WAY BLVD APT 727
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77065-5585
Mailing Address - Country:US
Mailing Address - Phone:832-352-4236
Mailing Address - Fax:
Practice Address - Street 1:12424 STEEPLE WAY BLVD APT 727
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77065-5585
Practice Address - Country:US
Practice Address - Phone:832-352-4236
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-06-11
Last Update Date:2011-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX164W00000X385H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes385H00000XRespite Care FacilityRespite Care