Lourdes Soldevilla Tababa

Primary specialty

Medical-Surgical Registered NurseTaxonomy code 163WM0705X

License

715173 Issued in TX

Practice address

6720 Bertner Ave
Houston, TX 77030-2604

Phone

(832) 355-1000

NPI assigned

Mar 11, 2018

Last updated

Mar 11, 2018By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1520726400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1520726400000",
    "number": "1457854978",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13402 INDIGO SANDS DR",
            "city": "PEARLAND",
            "state": "TX",
            "postal_code": "775843418",
            "telephone_number": "832-355-4244"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6720 BERTNER AVE",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770302604",
            "telephone_number": "832-355-1000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TABABA",
        "first_name": "LOURDES",
        "middle_name": "SOLDEVILLA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-03-11",
        "last_updated": "2018-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WM0705X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Registered Nurse, Medical-Surgical",
            "state": "TX",
            "license": "715173",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Truong Ta, PHARM. D.
• Tuan Minh Ta, PHARMD
• Tab Health Care Services Inc
• Tab International Inc (Megamed Healthcare Services)
• Houtan Ali Taba, M.D.
• Vladimir Y Tabakman, D.D.S, M.S.
• Tony K Tabarestani, D.C.
• Mohammadreza Tabary, MD
• Ayesha Tabassum, DDS
• Mika Tabata, MD

• Medical-Surgical Registered Nurse in Houston, TX
• Providers in Houston, TX by specialty
• Medical-Surgical Registered Nurse in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.