Provider Demographics
NPI:1831672120
Name:HOWARD, LEAH ESTELLE (RN)
Entity Type:Individual
Prefix:
First Name:LEAH
Middle Name:ESTELLE
Last Name:HOWARD
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11417 RUNNEL RIDGE RD
Mailing Address - Street 2:
Mailing Address - City:MANOR
Mailing Address - State:TX
Mailing Address - Zip Code:78653-3874
Mailing Address - Country:US
Mailing Address - Phone:512-934-7973
Mailing Address - Fax:
Practice Address - Street 1:11417 RUNNEL RIDGE RD
Practice Address - Street 2:
Practice Address - City:MANOR
Practice Address - State:TX
Practice Address - Zip Code:78653-3874
Practice Address - Country:US
Practice Address - Phone:512-934-7973
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-09-12
Last Update Date:2018-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX504992163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse