Provider Demographics
NPI:1851544647
Name:GOINS, TRISHA SHRELL (NP)
Entity Type:Individual
Prefix:
First Name:TRISHA
Middle Name:SHRELL
Last Name:GOINS
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 1:6431 FANNIN ST
Mailing Address - Street 2:SUITE 5.246
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77030-1501
Mailing Address - Country:US
Mailing Address - Phone:713-500-7300
Mailing Address - Fax:713-500-7296
Practice Address - Street 1:6431 FANNIN ST # 5.246
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77030-1501
Practice Address - Country:US
Practice Address - Phone:713-500-7300
Practice Address - Fax:713-500-7296
Is Sole Proprietor?:No
Enumeration Date:2008-10-24
Last Update Date:2009-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX759687363LA2100X
TX20082117363LA2100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX8Y9067OtherBCBS
TX197692001Medicaid
TX197692002OtherCSHCN
TX197692002OtherCSHCN