Doctor Name: | MS. TONIA DENISE POPE |
NPI Number: | 1568757193 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LVN |
License Number: | 164W00000X |
Business Practice Address: | 12424 Steeple Way Blvd Apt 727 Houston, TX - 770655585 |
Business Phone Number: | 8323524236 |
Business Fax Number: | |
Mailing Address: | 12424 Steeple Way Blvd Apt 727, HOUSTON |
State: | TX |
Postal Code: | 770655585 |
Phone Number: | 8323524236 |
Fax Number: | |
NPI Enumeration Date: | 06/11/2011 |
NPI Last Update Date: | 06/11/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 385H00000X |
License Number: | 164W00000X |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TX |
Taxonomy Type: | Respite Care Facility |
Taxonomy Classification: | Respite Care |
Taxonomy Specialization: | |
Taxonomy Definition: |