Provider Demographics
NPI:1750829750
Name:FINLAYSON, HATTI
Entity type:Individual
Prefix:
First Name:HATTI
Middle Name:
Last Name:FINLAYSON
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 1:3307 HOLMAN ST
Mailing Address - Street 2:#1
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77004-3729
Mailing Address - Country:US
Mailing Address - Phone:713-269-0550
Mailing Address - Fax:
Practice Address - Street 1:3307 HOLMAN ST
Practice Address - Street 2:#1
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77004-3729
Practice Address - Country:US
Practice Address - Phone:713-269-0550
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-02-09
Last Update Date:2017-02-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX172V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes172V00000XOther Service ProvidersCommunity Health Worker