Provider Demographics
NPI:1942831268
Name:DANAO, REA MAY ROQUE (NP-C)
Entity type:Individual
Prefix:
First Name:REA MAY
Middle Name:ROQUE
Last Name:DANAO
Suffix:
Gender:F
Credentials:NP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4031 CYPRESS CREEK PKWY
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77068-3401
Mailing Address - Country:US
Mailing Address - Phone:832-680-6901
Mailing Address - Fax:832-558-9567
Practice Address - Street 1:4031 CYPRESS CREEK PKWY
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77068-3401
Practice Address - Country:US
Practice Address - Phone:832-680-6901
Practice Address - Fax:832-558-9567
Is Sole Proprietor?:Yes
Enumeration Date:2020-01-27
Last Update Date:2023-12-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ249032363L00000X
WY46502363L00000X
WAAP61102693363L00000X
TX1010231363L00000X, 363LF0000X
OR202008296NP-PP363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily