Provider Demographics
NPI:1942804141
Name:FOREMAN, DENNA ROXANNE (FNP)
Entity Type:Individual
Prefix:MRS
First Name:DENNA
Middle Name:ROXANNE
Last Name:FOREMAN
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:MRS
Other - First Name:DENNA
Other - Middle Name:ROXANNE
Other - Last Name:JOHNSON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:16840 BUCCANEER LN STE 261
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77058-2570
Mailing Address - Country:US
Mailing Address - Phone:281-991-2200
Mailing Address - Fax:
Practice Address - Street 1:7111 MEDICAL CENTER DR STE 100
Practice Address - Street 2:
Practice Address - City:TEXAS CITY
Practice Address - State:TX
Practice Address - Zip Code:77591-2667
Practice Address - Country:US
Practice Address - Phone:281-991-2200
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-11-28
Last Update Date:2023-09-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX818131163W00000X
TX1029118363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163W00000XNursing Service ProvidersRegistered Nurse