Provider Demographics
NPI:1902486566
Name:HOUSTON, QUATESHIA MONIQUE
Entity Type:Individual
Prefix:
First Name:QUATESHIA
Middle Name:MONIQUE
Last Name:HOUSTON
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10855 MEADOWGLEN LN APT 1010
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77042-4038
Mailing Address - Country:US
Mailing Address - Phone:956-203-2168
Mailing Address - Fax:
Practice Address - Street 1:10855 MEADOWGLEN LN APT 1010
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77042-4038
Practice Address - Country:US
Practice Address - Phone:956-203-2168
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-04-08
Last Update Date:2021-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide