Individual provider · NPI-1
Deanna Trishelle Bordelon
Case Manager/Care Coordinator · Spring, TX
NPI number1649092149
StatusActive
Last updated in NPPESOct 28, 2024
Details
- NPI
- 1649092149
- Entity type
- Individual (NPI-1)
- Name
- Deanna Trishelle Bordelon
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Oct 28, 2024
- Certification date
- Oct 28, 2024
- Last updated
- Oct 28, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 171M00000X | Case Manager/Care Coordinator | – | – | Yes |
Practice location
20008 Champion Forest Dr Ste 601Spring, TX 77379-8696
Phone 281-683-7262
Mailing address
20008 Champion Forest Dr Ste 601Spring, TX 77379-8696
Phone 281-683-7262
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