Healthcare Provider Details

I. General information

NPI: 1427726025
Provider Name (Legal Business Name): CYNTHIA LAZETTE BATES CNA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/31/2021
Last Update Date: 08/31/2021
Certification Date: 08/31/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8429 LAWLER ST. #A
HOUSTON TX
77051-1319
US

IV. Provider business mailing address

8429 LAWLER ST. #A
HOUSTON TX
77051
US

V. Phone/Fax

Practice location:
  • Phone: 713-277-4087
  • Fax:
Mailing address:
  • Phone: 713-277-4087
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code372500000X
TaxonomyChore Provider
License NumberNA00707285
License Number StateTX
# 2
Primary TaxonomyN
Taxonomy Code374700000X
TaxonomyTechnician
License NumberNA00707285
License Number StateTX
# 3
Primary TaxonomyY
Taxonomy Code3747A0650X
TaxonomyAttendant Care Provider
License NumberNA00707285
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: