MRS. REBEKAH LEIGH PENTON


Address: 2323 Clear Lake City Blvd 180-199, Houston, TX 77062-8120
Phone: 7137700691

MRS. REBEKAH LEIGH PENTON (NPI# 1538461439) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1538461439
Entity Type Individual
Full Name MRS. REBEKAH LEIGH PENTON
Credential RN, GNP-BC
Practice Address 2323 Clear Lake City Blvd 180-199
Houston
TX 77062-8120
Mailing Address 1210 Hardesty Ave
Seabrook
TX 77586-3870
Practice Telephone 7137700691
Practice Fax Number 2812208356
Mailing Telephone 4092560775
Mailing Fax Number 2812208356
Enumeration Date 2010-11-28
Last Update Date 2015-10-05
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LG0600X Nurse Practitioner
Specialization: Gerontology
679569 TX Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 2323 CLEAR LAKE CITY BLVD 180-199
City HOUSTON
State TX
Zip Code 77062-8120

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Taxonomy Information

Taxonomy Code 363LG0600X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Gerontology

Taxonomy Definition

Definition to come...

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Competitor

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City HOUSTON
Zip Code 77062

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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