Staten, Takara Monique
Staten, Takara Monique is an sole proprietor health care provider with primary practice located at 7800 San Felipe Blvd Apt 504 , Austin TX 78729-7694. She recently has only one registered license in Nursing Service Related Providers / Nurse's Aide, which is considered as her primary health care specialty. Staten, Takara Monique can be contacted via phone (701) 495-3540.Contact Information
Primary practice address
7800 San Felipe Blvd Apt 504
Austin TX 78729-7694
Phone: (701) 495-3540
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing Service Related Providers / Nurse's Aide | 376K00000X | NA0061032783 | Texas |
Profile Details
| NPI number | 1043926710 |
|---|---|
| LBN Legal business name | Staten, Takara Monique |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 26th, 2023 |
| Last updated | Jan 26th, 2023 - about last year |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1043926710 | NPPES |
| Texas | MEDICAID | 376K00000X |
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