Organization
COLLABORATIVE GERIATRICS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RHONDA HUNSUCKER A/GNP-C (OWNER)
(281) 723-9068
Entity
Organization
Contact information
Practice address
24285 KATY FWY STE 300, KATY, TX 77494-1327
(346) 387-7171
(844) 703-5305
Mailing address
24285 KATY FWY STE 300, KATY, TX 77494-1327
(346) 387-7171
(844) 703-5305
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
—
—
363LA2200X
Adult Health Nurse Practitioner
—
—
363LG0600X
Gerontology Nurse Practitioner
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0032PL
BCBS
TX
05
—
184735201
—
TX
01
—
DG9243
RR MEDICARE
TX
Enumeration date
09/27/2006
Last updated
09/17/2021
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