Laverne Gidget Moreland, CAREGIVER

Individual provider Active NPI Case Manager/Care Coordinator · Brookshire, TX

NPI 1245603752 · NPPES record last updated Nov 5, 2015

Key facts

NPI
1245603752
Entity type
Individual (NPI type 1)
Primary specialty
Case Manager/Care Coordinator 171M00000X
License
74-3032742 (NV)
Practice address
32303 Pintail Street
Brookshire, TX 77423
Phone
(281) 375-8962
NPI assigned
Nov 5, 2015
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

LicenseStateTypeSpecialty
74-3032742NVMDCase Manager/Care Coordinator

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care Coordinator 171M00000X 74-3032742 NV Yes

Addresses

Primary practice location

32303 Pintail Street
Brookshire, TX 77423

Mailing address

32303 Pintail Street
Brookshire, TX 77423
Phone (832) 692-9461

Other providers in Brookshire, TX

All providers in Brookshire, TX · Case Manager/Care Coordinator in Texas

Sources for this page

Verify at the official NPI Registry.