Provider Demographics
NPI:1811323660
Name:COWARD, ROY CRAIG
Entity type:Individual
Prefix:MR
First Name:ROY
Middle Name:CRAIG
Last Name:COWARD
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4311 APRIL MEADOW WAY
Mailing Address - Street 2:
Mailing Address - City:SUGAR LAND
Mailing Address - State:TX
Mailing Address - Zip Code:77479-3120
Mailing Address - Country:US
Mailing Address - Phone:281-494-6363
Mailing Address - Fax:
Practice Address - Street 1:4311 APRIL MEADOW WAY
Practice Address - Street 2:
Practice Address - City:SUGAR LAND
Practice Address - State:TX
Practice Address - Zip Code:77479-3120
Practice Address - Country:US
Practice Address - Phone:281-494-6363
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-09-24
Last Update Date:2017-03-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
171W00000X, 253Z00000X, 251J00000X, 3747P1801X, 251E00000X
TX251X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No171W00000XOther Service ProvidersContractor
No253Z00000XAgenciesIn Home Supportive Care
No251J00000XAgenciesNursing Care
No3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant
No251X00000XAgenciesSupports Brokerage