Provider Demographics
NPI:1942496849
Name:NGOLE, HEATHER MARIE (NONE)
Entity Type:Individual
Prefix:MRS
First Name:HEATHER
Middle Name:MARIE
Last Name:NGOLE
Suffix:
Gender:F
Credentials:NONE
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Mailing Address - Street 1:8106 AZURE BROOK DR
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77089-2471
Mailing Address - Country:US
Mailing Address - Phone:281-740-9674
Mailing Address - Fax:713-378-4477
Practice Address - Street 1:8106 AZURE BROOK DR
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77089-2471
Practice Address - Country:US
Practice Address - Phone:281-740-9674
Practice Address - Fax:713-378-4477
Is Sole Proprietor?:Yes
Enumeration Date:2007-09-25
Last Update Date:2023-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NONE343900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)