Provider Demographics
NPI:1851879423
Name:MINOR, NATASHA C (MS)
Entity Type:Individual
Prefix:
First Name:NATASHA
Middle Name:C
Last Name:MINOR
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:NATASHA
Other - Middle Name:C
Other - Last Name:JOHNSON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MS
Mailing Address - Street 1:2150 TOWN SQUARE PL STE 290
Mailing Address - Street 2:
Mailing Address - City:SUGAR LAND
Mailing Address - State:TX
Mailing Address - Zip Code:77479-1643
Mailing Address - Country:US
Mailing Address - Phone:281-768-6730
Mailing Address - Fax:281-768-6766
Practice Address - Street 1:2150 TOWN SQUARE PL STE 290
Practice Address - Street 2:
Practice Address - City:SUGAR LAND
Practice Address - State:TX
Practice Address - Zip Code:77479-1643
Practice Address - Country:US
Practice Address - Phone:281-768-6730
Practice Address - Fax:281-768-6766
Is Sole Proprietor?:No
Enumeration Date:2018-08-05
Last Update Date:2018-08-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246ZE0600XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, OtherElectroneurodiagnostic