Provider Demographics
NPI:1457654600
Name:HOUSTON, NIKKI S (RRT)
Entity Type:Individual
Prefix:MRS
First Name:NIKKI
Middle Name:S
Last Name:HOUSTON
Suffix:
Gender:F
Credentials:RRT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Mailing Address - Street 1:1716 CHATTANOOGA PL
Mailing Address - Street 2:APT 1222
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75235-6100
Mailing Address - Country:US
Mailing Address - Phone:214-650-7943
Mailing Address - Fax:
Practice Address - Street 1:1716 CHATTANOOGA PL
Practice Address - Street 2:APT 1222
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75235-6100
Practice Address - Country:US
Practice Address - Phone:214-650-7943
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-12-09
Last Update Date:2010-12-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX685312279C0205X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2279C0205XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRespiratory Therapist, RegisteredCritical Care