Provider Demographics
NPI:1427066679
Name:NANCY L. FOREMAN & ASSOCIATES, LLC
Entity type:Organization
Organization Name:NANCY L. FOREMAN & ASSOCIATES, LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:BILLING
Authorized Official - Prefix:
Authorized Official - First Name:KIM
Authorized Official - Middle Name:
Authorized Official - Last Name:HOOD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:713-770-0803
Mailing Address - Street 1:4545 BISSONNET ST
Mailing Address - Street 2:SUITE 215
Mailing Address - City:BELLAIRE
Mailing Address - State:TX
Mailing Address - Zip Code:77401-3121
Mailing Address - Country:US
Mailing Address - Phone:713-770-0803
Mailing Address - Fax:713-218-7593
Practice Address - Street 1:4545 BISSONNET ST
Practice Address - Street 2:SUITE 215
Practice Address - City:BELLAIRE
Practice Address - State:TX
Practice Address - Zip Code:77401-3121
Practice Address - Country:US
Practice Address - Phone:713-770-0803
Practice Address - Fax:713-218-7593
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-04
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX10147235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX7088315OtherAETNA PROVIDER NUMBER
TX87880TOtherBCBS PROVIDER NUMBER