Provider Demographics
NPI:1861256703
Name:RHODES, MONIQUE MASON (RN DOULA)
Entity type:Individual
Prefix:
First Name:MONIQUE
Middle Name:MASON
Last Name:RHODES
Suffix:
Gender:F
Credentials:RN DOULA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1903 ROARING SPRINGS CT
Mailing Address - Street 2:
Mailing Address - City:PEARLAND
Mailing Address - State:TX
Mailing Address - Zip Code:77584-6771
Mailing Address - Country:US
Mailing Address - Phone:512-387-6849
Mailing Address - Fax:
Practice Address - Street 1:1903 ROARING SPRINGS CT
Practice Address - Street 2:
Practice Address - City:PEARLAND
Practice Address - State:TX
Practice Address - Zip Code:77584-6771
Practice Address - Country:US
Practice Address - Phone:512-387-6849
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-02-12
Last Update Date:2024-02-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX664397163W00000X
374J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula
No163W00000XNursing Service ProvidersRegistered Nurse