Individual
TAMMY R KOELSCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ACNP
Contact information
Practice address
1515 HOLCOMBE BLVD, HOUSTON, TX 77030-4009
(713) 792-6161
Mailing address
P O BOX 4439, HOUSTON, TX 77210-4439
(713) 792-2991
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
AP119006
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
317949106
—
TX
01
—
317949107
CSHCN
TX
01
—
8KK168
BCBS
TX
Enumeration date
06/25/2010
Last updated
04/08/2019
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