Shaundra Gontina
Individual provider Active NPI Adult Companion · La Marque, TX
NPI 1174200570 · NPPES record last updated Jun 28, 2023
Key facts
- NPI
- 1174200570
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Adult Companion 372600000X
- Practice address
- 236 Muriel St
La Marque, TX 77568-6153 - Phone
- (409) 454-1138
- NPI assigned
- Jun 28, 2023
- 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
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Companion |
372600000X | Yes |
Addresses
Primary practice location
236 Muriel St
La Marque, TX 77568-6153
Mailing address
236 Muriel St
La Marque, TX 77568-6153
Phone (409) 454-1138
Other providers in La Marque, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 28, 2023. 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.