Connie Ann Mixon
Individual provider Active NPI Personal Care Attendant · Vidor, TX
NPI 1689057465 · NPPES record last updated Dec 4, 2016
Key facts
- NPI
- 1689057465
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Personal Care Attendant 3747P1801X
- Practice address
- 990 Chestnut St
Vidor, TX 77662-4418 - Phone
- (281) 312-9651
- NPI assigned
- Jun 30, 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
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chore Provider | 372500000X | |||
| Adult Companion | 372600000X | |||
| Attendant Care Provider | 3747A0650X | |||
| Personal Care Attendant | 3747P1801X | Yes |
Addresses
Primary practice location
990 Chestnut St
Vidor, TX 77662-4418
Mailing address
990 Chestnut St
Vidor, TX 77662-4418
Phone (281) 312-9651
Other names
- Mrs. Connie Ann Byrd
Other providers in Vidor, TX
- Shelly Maines
- Merilyn Howton Marriott
- Merilyn Howton Marriott
- Michael K Crossley, M D P a
- Minor Home Healthcare & Housekeeping Associates
- Nirvana Nashed
- Gwendoline Nyajro
- Oakbend Medical Center
- Oakwood Health Care Center LTD. Co
- Sei C Oh
All providers in Vidor, TX · Personal Care Attendant in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 4, 2016. 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.