Provider Demographics
NPI:1871893628
Name:FOUQUETTE, LINDA MARIE
Entity type:Individual
Prefix:MISS
First Name:LINDA
Middle Name:MARIE
Last Name:FOUQUETTE
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 1:20007 STERLING FALLS DR
Mailing Address - Street 2:
Mailing Address - City:KATY
Mailing Address - State:TX
Mailing Address - Zip Code:77449-7625
Mailing Address - Country:US
Mailing Address - Phone:320-420-0910
Mailing Address - Fax:832-427-1904
Practice Address - Street 1:20007 STERLING FALLS DR
Practice Address - Street 2:
Practice Address - City:KATY
Practice Address - State:TX
Practice Address - Zip Code:77449-7625
Practice Address - Country:US
Practice Address - Phone:320-420-0910
Practice Address - Fax:832-427-1904
Is Sole Proprietor?:Yes
Enumeration Date:2010-10-27
Last Update Date:2010-10-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253J00000XAgenciesFoster Care Agency