Provider Demographics
NPI:1447071659
Name:MCADAMS, TEISHA LERELL
Entity type:Individual
Prefix:
First Name:TEISHA
Middle Name:LERELL
Last Name:MCADAMS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7604 CHARLESMONT ST
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77016-3926
Mailing Address - Country:US
Mailing Address - Phone:832-808-6788
Mailing Address - Fax:833-456-1122
Practice Address - Street 1:7604 CHARLESMONT ST
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77016-3926
Practice Address - Country:US
Practice Address - Phone:832-808-6788
Practice Address - Fax:833-456-1122
Is Sole Proprietor?:Yes
Enumeration Date:2024-10-21
Last Update Date:2024-10-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX347C00000X, 343900000X, 343800000X, 344600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes347C00000XTransportation ServicesPrivate Vehicle
No343900000XTransportation ServicesNon-emergency Medical Transport (VAN)
No343800000XTransportation ServicesSecured Medical Transport (VAN)
No344600000XTransportation ServicesTaxi