Provider Demographics
NPI:1760116933
Name:SCOTT, ERIS MONIQUE
Entity Type:Individual
Prefix:
First Name:ERIS
Middle Name:MONIQUE
Last Name:SCOTT
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 1:2834 WUTHERING HEIGHTS DR
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77045-4739
Mailing Address - Country:US
Mailing Address - Phone:346-314-1097
Mailing Address - Fax:
Practice Address - Street 1:2834 WUTHERING HEIGHTS DR
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77045-4739
Practice Address - Country:US
Practice Address - Phone:346-314-1097
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-07-13
Last Update Date:2022-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXNA0061016823376K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes376K00000XNursing Service Related ProvidersNurse's AideGroup - Single Specialty