Provider Demographics
NPI:1801644240
Name:REYES, BLANCA ESTELA (CNA)
Entity type:Individual
Prefix:
First Name:BLANCA
Middle Name:ESTELA
Last Name:REYES
Suffix:
Gender:F
Credentials:CNA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11507 WAXWOOD DR
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77089-5425
Mailing Address - Country:US
Mailing Address - Phone:346-587-5001
Mailing Address - Fax:
Practice Address - Street 1:11507 WAXWOOD DR
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77089-5425
Practice Address - Country:US
Practice Address - Phone:346-587-5001
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-05-09
Last Update Date:2024-05-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes374U00000XNursing Service Related ProvidersHome Health AideGroup - Single Specialty