1174971659 NPI number — MISS APRIL DIONE HOUGH

Table of content: MISS APRIL DIONE HOUGH (NPI 1174971659)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1174971659 NPI number — MISS APRIL DIONE HOUGH

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
HOUGH
Provider First Name:
APRIL
Provider Middle Name:
DIONE
Provider Name Prefix Text:
MISS
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1174971659
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
06/03/2025
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1 CROW CANYON CT, STE. 100
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
SAN RAMON
Provider Business Mailing Address State Name:
CA
Provider Business Mailing Address Postal Code:
94583
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
888-531-8385
Provider Business Mailing Address Fax Number:
925-264-1902

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
4109 OVERBROOK DR
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
LAS VEGAS
Provider Business Practice Location Address State Name:
NV
Provider Business Practice Location Address Postal Code:
89108-5426
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
702-413-4667
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
05/25/2016

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: 106H00000X , with the licence number:  4998 , registered in the state of NV ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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





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