Provider Demographics
NPI:1336025485
Name:FREED, ALICE (BSN, RN, CBCN)
Entity type:Individual
Prefix:
First Name:ALICE
Middle Name:
Last Name:FREED
Suffix:
Gender:F
Credentials:BSN, RN, CBCN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7418 FORESTAY LN
Mailing Address - Street 2:
Mailing Address - City:BAYTOWN
Mailing Address - State:TX
Mailing Address - Zip Code:77521-7810
Mailing Address - Country:US
Mailing Address - Phone:713-806-7415
Mailing Address - Fax:713-806-7415
Practice Address - Street 1:12377 MERIT DR
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75251-2224
Practice Address - Country:US
Practice Address - Phone:713-806-7415
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-08-13
Last Update Date:2025-08-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX719175163WX0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WX0200XNursing Service ProvidersRegistered NurseOncology