Provider Demographics
NPI:1104269281
Name:OES, VERNITA (RN)
Entity type:Individual
Prefix:
First Name:VERNITA
Middle Name:
Last Name:OES
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9155 SCHAEFER RD UNIT 293
Mailing Address - Street 2:
Mailing Address - City:CONVERSE
Mailing Address - State:TX
Mailing Address - Zip Code:78109-1231
Mailing Address - Country:US
Mailing Address - Phone:210-233-6819
Mailing Address - Fax:
Practice Address - Street 1:3818 MAIDEN WAY
Practice Address - Street 2:
Practice Address - City:CONVERSE
Practice Address - State:TX
Practice Address - Zip Code:78109-3646
Practice Address - Country:US
Practice Address - Phone:210-233-6819
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-04-09
Last Update Date:2018-11-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA119983163W00000X
TX753585163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse