MEDICARE: MRS. TANISHA RENAE STOKES CHW

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	172V00000X	Community Health Worker	8524	TX

General Provider Information

NPI Number	:	1669314613
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. TANISHA RENAE STOKES CHW

Provider Business Mailing Address
First Line	:	6021 ASHBURY ST APT 7110
Second Line	:
City	:	NORTH RICHLAND HILLS
State	:	TX
Zip	:	76180-5753
Country	:	US
Telephone Number	:	262-902-3270
Fax Number	:

Provider Business Practice Location Address
First Line	:	6021 ASHBURY ST APT 7110
Second Line	:
City	:	NORTH RICHLAND HILLS
State	:	TX
Zip	:	76180-5753
Country	:	US
Telephone Number	:	262-902-3270
Fax Number	:

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

Provider Enumeration Date	:	04/08/2026
Last Update Date	:	04/08/2026

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