Provider Demographics
NPI:1982883062
Name:SOWA, ESTHER J (LVN)
Entity Type:Individual
Prefix:MRS
First Name:ESTHER
Middle Name:J
Last Name:SOWA
Suffix:
Gender:F
Credentials:LVN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 770201
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77215-0201
Mailing Address - Country:US
Mailing Address - Phone:713-885-5541
Mailing Address - Fax:
Practice Address - Street 1:12600 BROOKGLADE CIR
Practice Address - Street 2:APT. 404
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77099-1300
Practice Address - Country:US
Practice Address - Phone:713-885-5541
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-10-25
Last Update Date:2007-10-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX187416164X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164X00000XNursing Service ProvidersLicensed Vocational Nurse