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NPI Code Detail

MEDICARE: MIEKESHA HENRY

MEDICARE:   MIEKESHA  HENRY
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
1164X00000XLicensed Vocational Nurse303500TX

General Provider Information

NPI Number : 1245879196
Entity Type Code : Individual
Provider Name (Legal Business Name) : MIEKESHA HENRY
Provider Business Mailing Address
First Line : 1155 DAIRY ASHFORD RD STE 560
Second Line :
City : HOUSTON
State : TX
Zip : 77079-3035
Country : US
Telephone Number : 713-799-2200
Fax Number :
Provider Business Practice Location Address
First Line : 18100 WEST RD APT 1204
Second Line :
City : HOUSTON
State : TX
Zip : 77095-3785
Country : US
Telephone Number : 346-600-5142
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/24/2019
Last Update Date : 12/24/2019

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Directions to “ MIEKESHA HENRY ” Practice Location

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