Individual
JON W KNOLLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5656 KELLEY ST, HOUSTON, TX 77026-1967
(713) 566-5600
Mailing address
PO BOX 201088, HOUSTON, TX 77216-1088
(713) 500-3500
(713) 500-5484
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
D1452
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
88Y728
BCBS
TX
Enumeration date
07/12/2006
Last updated
07/14/2007
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