Provider Demographics
NPI:1457072282
Name:BATISTE, CHANEL (BPS, PBT(ASCP), MA)
Entity Type:Individual
Prefix:
First Name:CHANEL
Middle Name:
Last Name:BATISTE
Suffix:
Gender:F
Credentials:BPS, PBT(ASCP), MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10700 FONDREN RD APT 1903
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77096-5757
Mailing Address - Country:US
Mailing Address - Phone:312-771-9046
Mailing Address - Fax:
Practice Address - Street 1:10700 FONDREN RD
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77096-5439
Practice Address - Country:US
Practice Address - Phone:312-771-9046
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-09-09
Last Update Date:2022-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes331L00000XSuppliersBlood Bank