Deidra Michelle Houston, LVN
Individual provider Active NPI Licensed Vocational Nurse · Seagraves, TX
NPI 1134680341 · NPPES record last updated Mar 29, 2019
Key facts
- NPI
- 1134680341
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Licensed Vocational Nurse 164X00000X
- License
- 233142 (TX)
- Practice address
- 1207 16TH St
Seagraves, TX 79359-1347 - Phone
- (806) 893-1714
- NPI assigned
- Mar 29, 2019
- 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 |
|---|---|---|---|
| 233142 | TX | MD | Licensed Vocational Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Licensed Vocational Nurse | 164X00000X | 233142 | TX | Yes |
Addresses
Primary practice location
1207 16TH St
Seagraves, TX 79359-1347
Mailing address
PO Box 1347
Seagraves, TX 79359-1347
Phone (806) 893-1714
Other providers in Seagraves, TX
- Cynthia Browne
- Rachel Ruth Kemper
- William H Lancet
- Northeast Gaines County Emergency Service District 1
- Teresa Lynn Roberts-Freeman
- Seagraves Family Clinic
All providers in Seagraves, 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 Mar 29, 2019. 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.