Healthcare Provider Details

I. General information

NPI: 1326611377
Provider Name (Legal Business Name): VIRGINIA ADDIE FRANCIS RN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/19/2021
Last Update Date: 07/19/2021
Certification Date: 07/09/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2424 WILCREST DR STE 110
HOUSTON TX
77042-2772
US

IV. Provider business mailing address

511 CAPLIN ST
HOUSTON TX
77022-5551
US

V. Phone/Fax

Practice location:
  • Phone: 713-666-8287
  • Fax: 713-660-8391
Mailing address:
  • Phone: 434-429-5358
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number1214458
License Number StateVA
# 2
Primary TaxonomyY
Taxonomy Code163WP0200X
TaxonomyPediatric Registered Nurse
License Number1214458
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: