Provider Demographics
NPI:1710374400
Name:BILLUPS, COURTNEY DANIELLE
Entity Type:Individual
Prefix:
First Name:COURTNEY
Middle Name:DANIELLE
Last Name:BILLUPS
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 1:13015 HIRAM CLARKE RD
Mailing Address - Street 2:#A
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77045-3204
Mailing Address - Country:US
Mailing Address - Phone:832-834-8736
Mailing Address - Fax:832-672-7882
Practice Address - Street 1:13015 HIRAM CLARKE RD
Practice Address - Street 2:A
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77045-3204
Practice Address - Country:US
Practice Address - Phone:832-834-8736
Practice Address - Fax:832-672-7882
Is Sole Proprietor?:Yes
Enumeration Date:2015-04-20
Last Update Date:2015-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes347C00000XTransportation ServicesPrivate Vehicle