Individual
REBECCA LEA CHURCHMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN, CRNFA
Contact information
Practice address
800 PEAKWOOD DR STE 8B, HOUSTON, TX 77090-2904
(281) 580-6797
(281) 580-6693
Mailing address
1823 ASH MEADOW DR, HOUSTON, TX 77090-2203
(281) 537-1618
Taxonomy
Speciality
Code
Description
License number
State
163WR0006X
Registered Nurse First Assistant
Primary
462655
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
462655
LICENSED PROFESSIONAL RN
TX
Enumeration date
03/28/2007
Last updated
07/08/2007
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