Individual
CAROLINE E FIFE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
17450 ST LUKES WAY, STE 350, THE WOODLANDS, TX 77384-8044
(936) 266-2150
(936) 266-8527
Mailing address
2700 RESEARCH FOREST DR, STE. 100, THE WOODLANDS, TX 77381-4252
(800) 603-7896
(832) 550-2941
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
G8104
TX
207RC0000X
Cardiovascular Disease Physician
G8104
TX
2083P0011X
Undersea and Hyperbaric Medicine (Preventive Medicine) Physician
Primary
G8104
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
125858404
—
TX
01
—
88Y442
BCBS
TX
Enumeration date
07/18/2006
Last updated
07/20/2016
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