Provider Demographics
NPI:1265890495
Name:FREEMAN, DONNA MARIE (LMT)
Entity type:Individual
Prefix:
First Name:DONNA
Middle Name:MARIE
Last Name:FREEMAN
Suffix:
Gender:F
Credentials:LMT
Other - Prefix:
Other - First Name:DONNA
Other - Middle Name:
Other - Last Name:FREEMAN
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LMT
Mailing Address - Street 1:5208 CEDAR ST
Mailing Address - Street 2:
Mailing Address - City:BELLAIRE
Mailing Address - State:TX
Mailing Address - Zip Code:77401-3915
Mailing Address - Country:US
Mailing Address - Phone:713-269-8671
Mailing Address - Fax:
Practice Address - Street 1:5208 CEDAR ST
Practice Address - Street 2:
Practice Address - City:BELLAIRE
Practice Address - State:TX
Practice Address - Zip Code:77401-3915
Practice Address - Country:US
Practice Address - Phone:713-269-8671
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-02-02
Last Update Date:2016-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
173C00000X
TXLMT 030095174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
No173C00000XOther Service ProvidersReflexologist