Healthcare Provider Details

I. General information

NPI: 1942164686
Provider Name (Legal Business Name): HANNA-MARIE ADAMS-EMERSON
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/15/2025
Last Update Date: 12/15/2025
Certification Date: 12/15/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10602 WILDFLOWER VIEW DR
ROSHARON TX
77583-4669
US

IV. Provider business mailing address

5318 WESLAYAN ST # 1080
HOUSTON TX
77005-1048
US

V. Phone/Fax

Practice location:
  • Phone: 409-241-3655
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code172V00000X
TaxonomyCommunity Health Worker
License Number24407
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: