Provider Demographics
NPI:1922618248
Name:DREAHN, MICHAEL LEE (RN)
Entity Type:Individual
Prefix:
First Name:MICHAEL
Middle Name:LEE
Last Name:DREAHN
Suffix:
Gender:M
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1108 EASTWAY ST
Mailing Address - Street 2:
Mailing Address - City:GALENA PARK
Mailing Address - State:TX
Mailing Address - Zip Code:77547-2263
Mailing Address - Country:US
Mailing Address - Phone:713-674-5018
Mailing Address - Fax:
Practice Address - Street 1:1108 EASTWAY ST
Practice Address - Street 2:
Practice Address - City:GALENA PARK
Practice Address - State:TX
Practice Address - Zip Code:77547-2263
Practice Address - Country:US
Practice Address - Phone:713-674-5018
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-08-01
Last Update Date:2020-08-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX618083163WN0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WN0300XNursing Service ProvidersRegistered NurseNephrology