Individual
DANIELLE SHERRELLE COMEAUX
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
18220 TOMBALL PKWY, SUITE 400, HOUSTON, TX 77070-4347
(281) 737-0999
(281) 737-0926
Mailing address
18220 TOMBALL PKWY, SUITE 400, HOUSTON, TX 77070-4347
(281) 737-0999
(281) 737-0926
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA05270
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1033300686
BLUE CROSS BLUE SHIELD
TX
05
—
305772101
—
TX
05
—
305772103
—
TX
01
—
601771109
US DEPT OF LABOR
—
01
—
616771101
US DEPT OF LABOR
—
01
—
616771105
US DEPT OF LABOR
—
01
—
616771110
US DEPT OF LABOR
—
01
—
827N74
BLUE CROSS BLUE SHIELD
TX
01
—
8366ND
BLUE CROSS BLUE SHIELD
TX
01
—
P01086516
RR MEDICARE
TX
01
—
P01289664
RR MEDICARE
TX
Enumeration date
08/08/2007
Last updated
08/15/2016
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