Provider Demographics
NPI:1801599428
Name:LABOVE, PORSCHA
Entity type:Individual
Prefix:
First Name:PORSCHA
Middle Name:
Last Name:LABOVE
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 1:505 N SAM HOUSTON PKWY E STE 245
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77060-4059
Mailing Address - Country:US
Mailing Address - Phone:833-377-7090
Mailing Address - Fax:832-632-3383
Practice Address - Street 1:505 N SAM HOUSTON PKWY E STE 245
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77060-4059
Practice Address - Country:US
Practice Address - Phone:833-377-7090
Practice Address - Fax:832-632-3383
Is Sole Proprietor?:Yes
Enumeration Date:2023-03-23
Last Update Date:2023-03-24
Deactivation Date:
Deactivation Code:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246RP1900XTechnologists, Technicians & Other Technical Service ProvidersTechnician, PathologyPhlebotomy