Provider Demographics
NPI:1528523172
Name:REW, CHRISTINE NAZARI
Entity type:Individual
Prefix:
First Name:CHRISTINE
Middle Name:NAZARI
Last Name:REW
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:CHRISTINE
Other - Middle Name:
Other - Last Name:NAZARI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1223 MUIRFIELD PL
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77055-7001
Mailing Address - Country:US
Mailing Address - Phone:832-704-0701
Mailing Address - Fax:832-916-4553
Practice Address - Street 1:1223 MUIRFIELD PL
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77055-7001
Practice Address - Country:US
Practice Address - Phone:832-704-0701
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-02-07
Last Update Date:2020-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health