SearchLouisiana101YM0800X

Fanetta Houston

NPI 1659925626 · on the registry since 2019

Practice

Address
458 Herndon St
Shreveport, LA 71101
Phone
(318) 429-6938
Organisation at this address
Volunteers Of America Of North Louisiana
Inferred from a shared address, not stated in the registry.
Clinicians at this address
36

Registry record

Primary taxonomy
101YM0800X
101YM0800X
Also registered as
101YM0800X
171M00000X
Licence states on file
LA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2022-09-15

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Louisiana