MEDICARE: SHOIA HOUSTON

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	164W00000X	Licensed Practical Nurse	15564	NV

General Provider Information

NPI Number	:	1447025606
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SHOIA HOUSTON

Provider Business Mailing Address
First Line	:	1827 W GOWAN RD APT 2121
Second Line	:
City	:	NORTH LAS VEGAS
State	:	NV
Zip	:	89032-7998
Country	:	US
Telephone Number	:	951-623-4213
Fax Number	:

Provider Business Practice Location Address
First Line	:	1827 W GOWAN RD
Second Line	:
City	:	NORTH LAS VEGAS
State	:	NV
Zip	:	89032-7755
Country	:	US
Telephone Number	:	951-623-4213
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/17/2023
Last Update Date	:	11/17/2023

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Directions to “ SHOIA HOUSTON ” Practice Location

Language	Start Address	Practice Location

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