Provider Demographics
NPI:1134730575
Name:HOWARD, TROYETTA (CEO)
Entity type:Individual
Prefix:MISS
First Name:TROYETTA
Middle Name:
Last Name:HOWARD
Suffix:
Gender:F
Credentials:CEO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4701 FM 2920 RD STE C3
Mailing Address - Street 2:
Mailing Address - City:SPRING
Mailing Address - State:TX
Mailing Address - Zip Code:77388-3197
Mailing Address - Country:US
Mailing Address - Phone:281-323-4858
Mailing Address - Fax:832-802-6168
Practice Address - Street 1:4701 FM 2920 RD STE C3
Practice Address - Street 2:
Practice Address - City:SPRING
Practice Address - State:TX
Practice Address - Zip Code:77388-3197
Practice Address - Country:US
Practice Address - Phone:281-323-4858
Practice Address - Fax:832-802-6168
Is Sole Proprietor?:Yes
Enumeration Date:2020-08-10
Last Update Date:2022-12-27
Deactivation Date:2022-09-06
Deactivation Code:
Reactivation Date:2022-12-14
Provider Licenses
StateLicense IDTaxonomies
332B00000X
TX332BD1200X, 332BN1400X, 332BP3500X, 332BX2000X
TX1003011332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
No332BD1200XSuppliersDurable Medical Equipment & Medical SuppliesDialysis Equipment & Supplies
No332BN1400XSuppliersDurable Medical Equipment & Medical SuppliesNursing Facility Supplies
No332BP3500XSuppliersDurable Medical Equipment & Medical SuppliesParenteral & Enteral Nutrition
No332BX2000XSuppliersDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies