Provider Demographics
NPI:1811438690
Name:HARDEMAN, MALEA (CPM)
Entity type:Individual
Prefix:MRS
First Name:MALEA
Middle Name:
Last Name:HARDEMAN
Suffix:
Gender:F
Credentials:CPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3000 CARROLTON ST APT 3
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77023-5340
Mailing Address - Country:US
Mailing Address - Phone:757-386-8199
Mailing Address - Fax:
Practice Address - Street 1:1210 W CLAY ST STE 4
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77019-4174
Practice Address - Country:US
Practice Address - Phone:832-899-4971
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-03-14
Last Update Date:2022-07-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
374J00000X
TX176B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula
No176B00000XOther Service ProvidersMidwife