Provider Demographics
NPI:1881104578
Name:STROUD-SIMMONS, ZANTA L
Entity type:Individual
Prefix:MRS
First Name:ZANTA
Middle Name:L
Last Name:STROUD-SIMMONS
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5019 AZALEA MEADOW LN
Mailing Address - Street 2:
Mailing Address - City:KATY
Mailing Address - State:TX
Mailing Address - Zip Code:77494-3154
Mailing Address - Country:US
Mailing Address - Phone:713-444-0998
Mailing Address - Fax:
Practice Address - Street 1:7622 BOGGESS RD
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77016-2802
Practice Address - Country:US
Practice Address - Phone:832-781-3331
Practice Address - Fax:832-201-6762
Is Sole Proprietor?:Yes
Enumeration Date:2017-10-07
Last Update Date:2025-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes175T00000XOther Service ProvidersPeer Specialist
No253Z00000XAgenciesIn Home Supportive Care
No310400000XNursing & Custodial Care FacilitiesAssisted Living Facility
No311ZA0620XNursing & Custodial Care FacilitiesCustodial Care FacilityAdult Care HomeGroup - Multi-Specialty
No374U00000XNursing Service Related ProvidersHome Health AideGroup - Multi-Specialty