Healthcare Provider Details

I. General information

NPI: 1992634976
Provider Name (Legal Business Name): CCESSORIES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/15/2026
Last Update Date: 05/15/2026
Certification Date: 05/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

610 BROADWAY ST
MARKHAM TX
77456-9800
US

IV. Provider business mailing address

610 BROADWAY ST
MARKHAM TX
77456-9800
US

V. Phone/Fax

Practice location:
  • Phone: 346-800-3104
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code376K00000X
TaxonomyNurse's Aide
License Number
License Number State

VIII. Authorized Official

Name: CANDRA REED
Title or Position: OWNER
Credential: CNA
Phone: 346-800-3104