Provider Demographics
NPI:1114712825
Name:RAINER, ANISSA CANTREL (LAB)
Entity type:Individual
Prefix:MS
First Name:ANISSA
Middle Name:CANTREL
Last Name:RAINER
Suffix:
Gender:
Credentials:LAB
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5680 HIGHWAY 6 # 154
Mailing Address - Street 2:
Mailing Address - City:MISSOURI CITY
Mailing Address - State:TX
Mailing Address - Zip Code:77459-4188
Mailing Address - Country:US
Mailing Address - Phone:832-471-0064
Mailing Address - Fax:
Practice Address - Street 1:5680 HIGHWAY 6 # 154
Practice Address - Street 2:
Practice Address - City:MISSOURI CITY
Practice Address - State:TX
Practice Address - Zip Code:77459-4188
Practice Address - Country:US
Practice Address - Phone:832-471-0064
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-04-12
Last Update Date:2025-04-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX246R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246R00000XTechnologists, Technicians & Other Technical Service ProvidersTechnician, Pathology