Individual
MRS. MARIA GWENDOLINE POLK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN MSN GNP-BC
Contact information
Practice address
4660 BEECHNUT ST STE 218-A, HOUSTON, TX 77096-1824
(713) 521-0006
Mailing address
4660 BEECHNUT ST STE 218, HOUSTON, TX 77096-1825
(713) 521-0006
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
425936
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
190358502
—
TX
01
—
8Y3481
BC/BS
TX
01
—
P00731415
MEDICARE RAILROAD
TX
01
—
P00784266
MEDICARE RAILROAD
TX
Enumeration date
04/09/2007
Last updated
07/11/2012
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us