Basic Information
Provider Information
NPI: 1518412519
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: JAMES
FirstName: ROCHELLE
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential: FNP
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 6410 FANNIN ST STE 500
Address2:  
City: HOUSTON
State: TX
PostalCode: 770303005
CountryCode: US
TelephoneNumber:  
FaxNumber:  
Practice Location
Address1: 7000 FANNIN ST
Address2:  
City: HOUSTON
State: TX
PostalCode: 770305400
CountryCode: US
TelephoneNumber: 8323257111
FaxNumber:  
Other Information
ProviderEnumerationDate: 08/19/2016
LastUpdateDate: 08/30/2022
NPIDeactivationReasonCode:  
NPIDeactivationDate: 12/06/2018
NPIReactivationDate: 12/31/2018
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 08/30/2022

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
363LF0000XAP131003TXY Physician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily

No ID Information.


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