Provider Demographics
NPI:1902594476
Name:MESSER, MAKAYLA ROSANNA
Entity Type:Individual
Prefix:
First Name:MAKAYLA
Middle Name:ROSANNA
Last Name:MESSER
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 1:800 HUNT RD APT 403
Mailing Address - Street 2:
Mailing Address - City:BAYTOWN
Mailing Address - State:TX
Mailing Address - Zip Code:77521-9666
Mailing Address - Country:US
Mailing Address - Phone:713-853-6157
Mailing Address - Fax:
Practice Address - Street 1:800 HUNT RD APT 403
Practice Address - Street 2:
Practice Address - City:BAYTOWN
Practice Address - State:TX
Practice Address - Zip Code:77521-9666
Practice Address - Country:US
Practice Address - Phone:713-853-6157
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-04-24
Last Update Date:2023-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician