Nicole Block
Individual provider Active NPI Licensed Vocational Nurse · Orange, TX
NPI 1871114769 · NPPES record last updated May 1, 2020
Key facts
- NPI
- 1871114769
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Licensed Vocational Nurse 164X00000X
- License
- 352635 (TX)
- Practice address
- 3784 4TH Ave
Orange, TX 77630-0114 - Phone
- (409) 988-4204
- NPI assigned
- May 1, 2020
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|
| 352635 | TX | MD | Licensed Vocational Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Licensed Vocational Nurse | 164X00000X | 352635 | TX | Yes |
Addresses
Primary practice location
3784 4TH Ave
Orange, TX 77630-0114
Mailing address
1155 Dairy Ashford Rd Ste 560
Houston, TX 77079-3035
Phone (713) 799-2200
Other providers in Orange, TX
- Ryanne Lunceford Berlin
- Sylvia Dale Bickham
- Bio-Medical Applications of Texas, Inc.
- Biotronics Kidney Center of Beaumont, Inc
- Josh Bland
- Allisha Gayle Skinner Bonneaux
- Malinda Charisse Boudreaux
- Reatha Jeannette Bradberry I
- Tara Breaux
- Brewer Dental PLLC
All providers in Orange, 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 May 1, 2020. 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.