NICOLE ENTREKIN


Address: 10411 South Dr, Houston, TX 77099-2876
Phone: 7132481489

NICOLE ENTREKIN (NPI# 1619476017) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1619476017
Entity Type Individual
Full Name NICOLE ENTREKIN
Credential MS, LPA
Practice Address 10411 South Dr
Houston
TX 77099-2876
Mailing Address 10411 South Dr Apt 702
Houston
TX 77099-2855
Practice Telephone 7132481489
Enumeration Date 2018-02-12
Last Update Date 2018-02-12
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103TC0700X Psychologist
Specialization: Clinical
34974 TX Behavioral Health & Social Service Providers

Office Location

Street Address 10411 SOUTH DR
City HOUSTON
State TX
Zip Code 77099-2876

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Taxonomy Information

Taxonomy Code 103TC0700X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist
Specialization Clinical

Taxonomy Definition

Definition to come...

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Competitor

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City HOUSTON
Zip Code 77099

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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