Provider Demographics
NPI:1619797230
Name:HALE, MYLIN WENDY (RCP/RRT)
Entity type:Individual
Prefix:
First Name:MYLIN
Middle Name:WENDY
Last Name:HALE
Suffix:
Gender:F
Credentials:RCP/RRT
Other - Prefix:
Other - First Name:MYLIN
Other - Middle Name:WENDY LEE
Other - Last Name:ESGUERRA
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:RCP, RRT
Mailing Address - Street 1:24539 YORKTOWN HEIGHTS DR
Mailing Address - Street 2:
Mailing Address - City:PORTER
Mailing Address - State:TX
Mailing Address - Zip Code:77365-7229
Mailing Address - Country:US
Mailing Address - Phone:346-625-6449
Mailing Address - Fax:
Practice Address - Street 1:710 CYPRESS CREEK PKWY
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77090-3402
Practice Address - Country:US
Practice Address - Phone:281-440-1000
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-10-17
Last Update Date:2024-11-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX02000836227800000X, 2279C0205X, 227900000X
KS1603062279C0205X
2279G1100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes227900000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRespiratory Therapist, RegisteredGroup - Multi-Specialty
No227800000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRespiratory Therapist, CertifiedGroup - Multi-Specialty
No2279C0205XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRespiratory Therapist, RegisteredCritical CareGroup - Multi-Specialty
No2279G1100XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRespiratory Therapist, RegisteredGeneral CareGroup - Multi-Specialty