Individual
PRECIOUS DESHIELD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
14601 BELLAIRE BLVD, 145, HOUSTON, TX 77083-2505
(281) 578-0019
Mailing address
14601 BELLAIRE BLVD, 145, HOUSTON, TX 77083-2505
(281) 578-0019
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
011330
TX
163WW0000X
Wound Care Registered Nurse
011330
TX
3747P1801X
Personal Care Attendant
—
—
374U00000X
Home Health Aide
011330
TX
376K00000X
Nurse's Aide
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
011330
DADS
TX
05
—
194394601
—
TX
Enumeration date
10/04/2010
Last updated
10/27/2014
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