Provider Demographics
NPI:1740928811
Name:KINOSHI, THERESA FIELDS
Entity type:Individual
Prefix:
First Name:THERESA
Middle Name:FIELDS
Last Name:KINOSHI
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11929 CHANTELOUP DR
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77047-4443
Mailing Address - Country:US
Mailing Address - Phone:713-927-2196
Mailing Address - Fax:832-742-8132
Practice Address - Street 1:11929 CHANTELOUP DR
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77047-4443
Practice Address - Country:US
Practice Address - Phone:713-927-2196
Practice Address - Fax:832-742-8132
Is Sole Proprietor?:No
Enumeration Date:2022-05-26
Last Update Date:2022-05-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747A0650XNursing Service Related ProvidersTechnicianAttendant Care Provider