Provider Demographics
NPI:1760693576
Name:SEMONES, LOREN (NP)
Entity Type:Individual
Prefix:
First Name:LOREN
Middle Name:
Last Name:SEMONES
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6550 FANNIN ST
Mailing Address - Street 2:SUITE 1901
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77030-2717
Mailing Address - Country:US
Mailing Address - Phone:713-441-1100
Mailing Address - Fax:713-790-2643
Practice Address - Street 1:6550 FANNIN ST
Practice Address - Street 2:SUITE 1901
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77030-2717
Practice Address - Country:US
Practice Address - Phone:713-441-1100
Practice Address - Fax:713-790-2643
Is Sole Proprietor?:No
Enumeration Date:2007-05-24
Last Update Date:2017-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX648543363L00000X
TXAP115592363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health
No363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX185900104Medicaid
TX8Y2116OtherBLUE CROSS BLUE SHIELD
TX185900101Medicaid
LA1898520Medicaid
TX8Y2116OtherBCBS
TXP01507432OtherRR MEDICARE
TX185900103Medicaid
TX8953NFOtherBLUE CROSS BLUE SHIELD
TX185900102Medicaid
TXP01094707OtherRR MEDICARE
TXP01507432OtherRR MEDICARE
TX340748YMVQMedicare PIN
TX340748ZSWDMedicare PIN
TX8F8226Medicare PIN
TX185900102Medicaid