Healthcare Provider Details

I. General information

NPI: 1588899686
Provider Name (Legal Business Name): GLENNDA T AHMED CNA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: GLENNDA T AHMED CNA

II. Dates (important events)

Enumeration Date: 05/19/2009
Last Update Date: 05/19/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7302 TOWER VIEW LN.
MISSOURI CITY TX
77489
US

IV. Provider business mailing address

7302 TOWERVIEW LN
MISSOURI CITY TX
77489-2432
US

V. Phone/Fax

Practice location:
  • Phone: 832-725-0389
  • Fax:
Mailing address:
  • Phone: 832-725-0389
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code320700000X
TaxonomyPhysical Disabilities Residential Treatment Facility
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: