Dedra Mechelle Barajas, NURSE
Individual provider Active NPI Licensed Vocational Nurse · Alvin, TX
NPI 1063912855 · NPPES record last updated Feb 19, 2018
Key facts
- NPI
- 1063912855
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Licensed Vocational Nurse 164X00000X
- License
- 126035 (TX)
- Practice address
- 1601 W Shane St
Alvin, TX 77511-3126 - Phone
- (281) 734-5240
- NPI assigned
- Feb 19, 2018
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 126035 | TX | MD | Licensed Vocational Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Licensed Vocational Nurse | 164X00000X | 126035 | TX | Yes |
Addresses
Primary practice location
1601 W Shane St
Alvin, TX 77511-3126
Mailing address
1601 W Shane St
Alvin, TX 77511-3126
Phone (281) 734-5240
Other providers in Alvin, TX
- Erin Arvie
- Angela Renee Attaway
- Moustafa Tarek Badawi
- Daniel Badillo
- Michael G Banyai
- Ashley Nichole Barrera
- Patricia Ann Batiste
- James Beasley III
- Tracee Beaumont
- Heather Benbrook
All providers in Alvin, TX · Licensed Vocational Nurse in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 19, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.