1043481070 NPI number — AMBER GUIDRY RHOADES M.S., CCC/A

Table of content: AMBER GUIDRY RHOADES M.S., CCC/A (NPI 1043481070)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1043481070 NPI number — AMBER GUIDRY RHOADES M.S., CCC/A

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
RHOADES
Provider First Name:
AMBER
Provider Middle Name:
GUIDRY
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
M.S., CCC/A
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
GUIDRY
Provider Other First Name:
AMBER
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
M.S., CCC/A
Provider Other Last Name Type Code:
1

NPI Number Information

NPI Number:
1043481070
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
03/26/2008
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 4869
Provider Second Line Business Mailing Address:
DEPT. 594
Provider Business Mailing Address City Name:
HOUSTON
Provider Business Mailing Address State Name:
TX
Provider Business Mailing Address Postal Code:
77210-4869
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
281-606-3100
Provider Business Mailing Address Fax Number:
281-606-3102

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
2950 CULLEN PKWY
Provider Second Line Business Practice Location Address:
SUITE 202
Provider Business Practice Location Address City Name:
PEARLAND
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
77584
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
281-606-3100
Provider Business Practice Location Address Fax Number:
281-606-3102
Provider Enumeration Date:
03/18/2008

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 231H00000X , with the licence number:  51567 , registered in the state of TX ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .
  • Taxonomy code: 237600000X , with the licence number: 51567 , registered in the state of TX ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .

Other Provider's Identifiers (legacy, non-NPI)