MEDICARE: IANTHA SYMONE MONROE

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	171M00000X	Case Manager/Care Coordinator

General Provider Information

NPI Number	:	1184574907
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	IANTHA SYMONE MONROE

Provider Business Mailing Address
First Line	:	3714 RIO VISTA ST
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77021-1514
Country	:	US
Telephone Number	:	832-603-9610
Fax Number	:

Provider Business Practice Location Address
First Line	:	3714 RIO VISTA ST
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77021-1514
Country	:	US
Telephone Number	:	832-603-9610
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/31/2026
Last Update Date	:	01/31/2026

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Directions to “ IANTHA SYMONE MONROE ” Practice Location

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