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NPI Code Detail

MEDICARE: CHERISH DRIVAS LMT

MEDICARE:   CHERISH  DRIVAS  LMT
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
1101Y00000XCounselor
2171W00000XContractor
3225700000XMassage TherapistCA
4225700000XMassage TherapistTX
5374J00000XDoulaCA
6374J00000XDoulaTX

General Provider Information

NPI Number : 1750122669
Entity Type Code : Individual
Provider Name (Legal Business Name) : CHERISH DRIVAS LMT
Provider Business Mailing Address
First Line : 2221 W DALLAS ST APT 366
Second Line :
City : HOUSTON
State : TX
Zip : 77019-4747
Country : US
Telephone Number : 713-766-8437
Fax Number :
Provider Business Practice Location Address
First Line : 2221 W DALLAS ST APT 366
Second Line :
City : HOUSTON
State : TX
Zip : 77019-4747
Country : US
Telephone Number : 713-538-0998
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/04/2024
Last Update Date : 06/04/2024

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Directions to “ CHERISH DRIVAS LMT” Practice Location

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