Provider Demographics
NPI: | 1073229605 |
---|---|
Name: | CONNORS, JASZALIN K |
Entity type: | Individual |
Prefix: | |
First Name: | JASZALIN |
Middle Name: | K |
Last Name: | CONNORS |
Suffix: | |
Gender: | F |
Credentials: | |
Other - Prefix: | |
Other - First Name: | JASMINE |
Other - Middle Name: | K |
Other - Last Name: | CRITTENDON |
Other - Suffix: | |
Other - Last Name Type: | Other Name |
Other - Credentials: | |
Mailing Address - Street 1: | 4222 SORSBY DR |
Mailing Address - Street 2: | |
Mailing Address - City: | HOUSTON |
Mailing Address - State: | TX |
Mailing Address - Zip Code: | 77047-1161 |
Mailing Address - Country: | US |
Mailing Address - Phone: | 832-689-0691 |
Mailing Address - Fax: | |
Practice Address - Street 1: | 4222 SORSBY DR |
Practice Address - Street 2: | |
Practice Address - City: | HOUSTON |
Practice Address - State: | TX |
Practice Address - Zip Code: | 77047-1161 |
Practice Address - Country: | US |
Practice Address - Phone: | 832-689-0691 |
Practice Address - Fax: | |
Is Sole Proprietor?: | Yes |
Enumeration Date: | 2023-01-26 |
Last Update Date: | 2024-07-18 |
Deactivation Date: | |
Deactivation Code: | |
Reactivation Date: |
Provider Taxonomies
Primary? | Code | Type | Classification | Specialization |
---|---|---|---|---|
Yes | 343900000X | Transportation Services | Non-emergency Medical Transport (VAN) | |
No | 101YP1600X | Behavioral Health & Social Service Providers | Counselor | Pastoral |
No | 172A00000X | Other Service Providers | Driver | |
No | 332B00000X | Suppliers | Durable Medical Equipment & Medical Supplies | |
No | 332BC3200X | Suppliers | Durable Medical Equipment & Medical Supplies | Customized Equipment |
No | 332BD1200X | Suppliers | Durable Medical Equipment & Medical Supplies | Dialysis Equipment & Supplies |
No | 332BN1400X | Suppliers | Durable Medical Equipment & Medical Supplies | Nursing Facility Supplies |
No | 332BP3500X | Suppliers | Durable Medical Equipment & Medical Supplies | Parenteral & Enteral Nutrition |
No | 332BX2000X | Suppliers | Durable Medical Equipment & Medical Supplies | Oxygen Equipment & Supplies |
No | 332U00000X | Suppliers | Home Delivered Meals | |
No | 335G00000X | Suppliers | Medical Foods Supplier | |
No | 335V00000X | Suppliers | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | |
No | 343800000X | Transportation Services | Secured Medical Transport (VAN) | |
No | 347E00000X | Transportation Services | Transportation Broker | |
No | 374T00000X | Nursing Service Related Providers | Religious Nonmedical Nursing Personnel |