Provider Demographics
NPI:1972950897
Name:SMITH, TEAEARA
Entity Type:Individual
Prefix:
First Name:TEAEARA
Middle Name:
Last Name:SMITH
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:4 TEE'S
Other - Middle Name:
Other - Last Name:SITTING SERVICES LLC
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:
Mailing Address - Street 1:15101 BLUE ASH DR APT 1102
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77090-6315
Mailing Address - Country:US
Mailing Address - Phone:713-594-5052
Mailing Address - Fax:
Practice Address - Street 1:15101 BLUE ASH DR APT 1102
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77090-6315
Practice Address - Country:US
Practice Address - Phone:713-594-5052
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-05-20
Last Update Date:2021-11-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide