Provider Demographics
NPI:1629578497
Name:GARRETT, LARHONDA L (LVN)
Entity Type:Individual
Prefix:MRS
First Name:LARHONDA
Middle Name:L
Last Name:GARRETT
Suffix:
Gender:F
Credentials:LVN
Other - Prefix:MRS
Other - First Name:LARHONDA
Other - Middle Name:L
Other - Last Name:GARRETT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LVN
Mailing Address - Street 1:1922 COUNTY ROAD 2545
Mailing Address - Street 2:
Mailing Address - City:SHELBYVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:75973-2453
Mailing Address - Country:US
Mailing Address - Phone:936-368-2483
Mailing Address - Fax:
Practice Address - Street 1:755 S BECKHAM AVE
Practice Address - Street 2:
Practice Address - City:TYLER
Practice Address - State:TX
Practice Address - Zip Code:75701-1903
Practice Address - Country:US
Practice Address - Phone:903-532-1400
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-02-17
Last Update Date:2018-02-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX335488164X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164X00000XNursing Service ProvidersLicensed Vocational Nurse