Provider Demographics
NPI:1427726025
Name:BATES, CYNTHIA LAZETTE (CNA)
Entity type:Individual
Prefix:MS
First Name:CYNTHIA
Middle Name:LAZETTE
Last Name:BATES
Suffix:
Gender:F
Credentials:CNA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8429 LAWLER ST. #A
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77051
Mailing Address - Country:US
Mailing Address - Phone:713-277-4087
Mailing Address - Fax:
Practice Address - Street 1:8429 LAWLER ST. #A
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77051-1319
Practice Address - Country:US
Practice Address - Phone:713-277-4087
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-08-31
Last Update Date:2021-08-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXNA00707285372500000X, 374700000X, 3747A0650X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747A0650XNursing Service Related ProvidersTechnicianAttendant Care Provider
No372500000XNursing Service Related ProvidersChore Provider
No374700000XNursing Service Related ProvidersTechnician