Provider Demographics
NPI:1790932150
Name:BABIN, REGENNA M (NP)
Entity Type:Individual
Prefix:MRS
First Name:REGENNA
Middle Name:M
Last Name:BABIN
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 1:610 COMMONS LAKEVIEW DR.
Mailing Address - Street 2:
Mailing Address - City:HUFFMAN
Mailing Address - State:TX
Mailing Address - Zip Code:77336-9161
Mailing Address - Country:US
Mailing Address - Phone:985-856-2484
Mailing Address - Fax:
Practice Address - Street 1:22751 PROFESSIONAL DR
Practice Address - Street 2:STE 1200
Practice Address - City:KINGWOOD
Practice Address - State:TX
Practice Address - Zip Code:77339
Practice Address - Country:US
Practice Address - Phone:281-359-3223
Practice Address - Fax:281-359-2089
Is Sole Proprietor?:No
Enumeration Date:2008-08-27
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX793774363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily