Provider Demographics
NPI:1689550782
Name:CRAIN, PORSHA
Entity type:Individual
Prefix:
First Name:PORSHA
Middle Name:
Last Name:CRAIN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:PORSHA
Other - Middle Name:
Other - Last Name:CRAIN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:3110 SKI HILL RD
Mailing Address - Street 2:
Mailing Address - City:SPRING
Mailing Address - State:TX
Mailing Address - Zip Code:77373-2100
Mailing Address - Country:US
Mailing Address - Phone:281-662-9032
Mailing Address - Fax:
Practice Address - Street 1:3110 SKI HILL RD
Practice Address - Street 2:
Practice Address - City:SPRING
Practice Address - State:TX
Practice Address - Zip Code:77373-2100
Practice Address - Country:US
Practice Address - Phone:281-662-9032
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-08-13
Last Update Date:2025-08-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health