Individual
KAREN HOLLENBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
6565 FANNIN ST, B452, HOUSTON, TX 77030-2703
(713) 441-3620
Mailing address
6565 FANNIN ST, B452, HOUSTON, TX 77030-2703
(713) 441-3620
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
251404
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1114198173
BLUE CROSS BLUE SHIELD
TX
05
—
280161501
—
TX
05
—
280161502
—
TX
Enumeration date
03/18/2008
Last updated
03/14/2012
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