Provider Demographics
NPI:1679925952
Name:CRUZ, NORA MELINDA (LMT,MMP)
Entity Type:Individual
Prefix:MRS
First Name:NORA
Middle Name:MELINDA
Last Name:CRUZ
Suffix:
Gender:F
Credentials:LMT,MMP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1110 NASA PKWY
Mailing Address - Street 2:SUITE 510
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77058-3310
Mailing Address - Country:US
Mailing Address - Phone:281-957-9508
Mailing Address - Fax:
Practice Address - Street 1:1110 NASA PKWY
Practice Address - Street 2:SUITE 510
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77058-3310
Practice Address - Country:US
Practice Address - Phone:281-957-9508
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-07-11
Last Update Date:2016-07-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXMT106454225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist