Servantes, Vanessa Leigh

Servantes, Vanessa Leigh is an individual health care provider with primary practice located at 4015 Interstate 45 N , Conroe TX 77304-4901. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as her primary health care specialty. Servantes, Vanessa Leigh can be contacted via phone (936) 522-4731.

Contact Information

Primary practice address
4015 Interstate 45 N Conroe TX 77304-4901
Fax: (936) 522-4737
Website:

Health care specialties

Profile Details

NPI number 1114964079
LBN Legal business name Servantes, Vanessa Leigh
Credentials LPT
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 1st, 2006
Last updated Mar 24th, 2010 - about 16 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1114964079 NPPES
Texas MEDICAID 180685301

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