Provider Demographics
NPI:1659400869
Name:BLEND, ROSA MARIA
Entity Type:Individual
Prefix:
First Name:ROSA
Middle Name:MARIA
Last Name:BLEND
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 1:5510 S RICE AVE
Mailing Address - Street 2:#1919
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77081-2131
Mailing Address - Country:US
Mailing Address - Phone:832-279-1120
Mailing Address - Fax:
Practice Address - Street 1:5510 S RICE AVE
Practice Address - Street 2:#1919
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77081-2131
Practice Address - Country:US
Practice Address - Phone:832-279-1120
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-05
Last Update Date:2010-07-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX199811164X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164X00000XNursing Service ProvidersLicensed Vocational Nurse