Provider Demographics
NPI:1619993003
Name:LACOMB, CHRISTINE RHEA (FNP-C)
Entity type:Individual
Prefix:MRS
First Name:CHRISTINE
Middle Name:RHEA
Last Name:LACOMB
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:MRS
Other - First Name:CHRISTINE
Other - Middle Name:RHEA
Other - Last Name:LANE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:6000 39TH ST
Mailing Address - Street 2:
Mailing Address - City:GROVES
Mailing Address - State:TX
Mailing Address - Zip Code:77619-4600
Mailing Address - Country:US
Mailing Address - Phone:409-962-8509
Mailing Address - Fax:409-962-0763
Practice Address - Street 1:6000 39TH ST
Practice Address - Street 2:
Practice Address - City:GROVES
Practice Address - State:TX
Practice Address - Zip Code:77619-4600
Practice Address - Country:US
Practice Address - Phone:409-962-8509
Practice Address - Fax:409-962-0763
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-15
Last Update Date:2017-03-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX684661363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily