Provider Demographics
NPI:1710271382
Name:SAADE, REBECCA EUGENIA (RN-GNP)
Entity Type:Individual
Prefix:MS
First Name:REBECCA
Middle Name:EUGENIA
Last Name:SAADE
Suffix:
Gender:F
Credentials:RN-GNP
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:2100 TANGLEWILDE ST
Mailing Address - Street 2:APT 261
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77063-1291
Mailing Address - Country:US
Mailing Address - Phone:713-857-4782
Mailing Address - Fax:
Practice Address - Street 1:7333 NORTH FREEWAY
Practice Address - Street 2:SUITE 430
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77076-1669
Practice Address - Country:US
Practice Address - Phone:713-691-7490
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-06-01
Last Update Date:2014-09-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX670917363LG0600X
TXAP120276363LG0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LG0600XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGerontology