Provider Demographics
NPI:1356392971
Name:CUEVAS, LOLITA O (BSN)
Entity type:Individual
Prefix:MISS
First Name:LOLITA
Middle Name:O
Last Name:CUEVAS
Suffix:
Gender:F
Credentials:BSN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11767 KATY FWY
Mailing Address - Street 2:SUITE # 375
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77079-1716
Mailing Address - Country:US
Mailing Address - Phone:281-558-5555
Mailing Address - Fax:281-558-5556
Practice Address - Street 1:11767 KATY FWY
Practice Address - Street 2:SUITE # 375
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77079-1716
Practice Address - Country:US
Practice Address - Phone:281-558-5555
Practice Address - Fax:281-558-5556
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-16
Last Update Date:2012-06-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX461138163WH0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WH0200XNursing Service ProvidersRegistered NurseHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX458489Medicare ID - Type UnspecifiedHOME HEALTH CARE AGENCY
TX458489Medicare Oscar/Certification